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General NPI Number Information
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NPI Number | 1225282023
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Entity Type | Organization
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Legal Business Name | STEVEN W SALDUKAS PHD PA
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Dates
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Enumeration Date | 11/06/2008
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Last Update Date | 06/10/2011
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Provider Practice Location Address
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Address Line | 1415 PANTHER LN SUITE #142
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-293-0230
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Fax | 239-591-6217
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Provider Business Mailing Address
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Address Line | 1415 PANTHER LN SUITE #142
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City | NAPLES
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State | FL
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Zip | 34109-7874
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Country | US
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Telephone | 239-293-0230
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Fax | 239-591-6217
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN W SALDUKAS
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Credential | PH.D.
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Telephone | 239-293-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5629
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License Number State | FL
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