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General NPI Number Information
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NPI Number | 1518230952
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Entity Type | Individual
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Provider Name | SAUL JOSHUA RANDALL MS CPCI NCC
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Gender | Male
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 3017 W CHARLESTON BLVD SUITE #70
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City | LAS VEGAS
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State | NV
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Zip | 89102-1941
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Country | US
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Telephone | 702-823-3910
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Fax |
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Provider Business Mailing Address
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Address Line | 7837 SILVER PLATEAU AVE
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City | LAS VEGAS
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State | NV
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Zip | 89128-2657
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Country | US
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Telephone | 702-672-1243
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CI0181
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License Number State | NV
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