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NPI 1467909762

NPI 1467909762 : AMELIA SAAFI : SALT LAKE CITY, UT

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General NPI Number Information
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    NPI Number           |    1467909762
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    Entity Type          |    Individual 
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    Provider Name        |    AMELIA SAAFI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2016
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    Last Update Date     |    09/02/2016
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Provider Practice Location Address
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    Address Line         |    344 E 100 S #301
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84111-1700
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    Country              |    US
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    Telephone            |    801-322-4257
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1602 S CONCORD ST 
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    City                 |    SALT LAKE CITY
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    State                |    UT
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    Zip                  |    84104-2153
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    Country              |    US
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    Telephone            |    801-706-4727
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    192144004
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    License Number State |    UT
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