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General NPI Number Information
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NPI Number | 1568070472
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Entity Type | Individual
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Provider Name | BARBARA MAY SAADE
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Gender | Female
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 1500 E HERITAGE PARK ST STE 150
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City | MERIDIAN
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State | ID
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Zip | 83646-5800
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Country | US
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Telephone | 208-631-0843
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Fax | 208-906-0807
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Provider Business Mailing Address
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Address Line | 1367 W BRANDO ST
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City | MERIDIAN
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State | ID
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Zip | 83646-6756
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Country | US
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Telephone | 208-949-9300
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMSW36201
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License Number State | ID
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