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General NPI Number Information
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NPI Number | 1336619246
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Entity Type | Organization
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Legal Business Name | SAVING LOST SOULS
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Dates
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Enumeration Date | 12/04/2018
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 1301 BROADWAY ST STE 1313
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City | TOLEDO
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State | OH
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Zip | 43609-2809
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Country | US
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Telephone | 419-509-3242
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Fax |
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Provider Business Mailing Address
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Address Line | 1301 BROADWAY ST
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City | TOLEDO
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State | OH
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Zip | 43609-2809
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Country | US
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Telephone | 419-509-3242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ARTHUR C BUCHANAN
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Credential |
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Telephone | 419-509-3242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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