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General NPI Number Information
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NPI Number | 1669161261
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Entity Type | Individual
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Provider Name | MR. MICHAEL SAULSBERRY
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 3935 OLD MEMPHIS OXFORD ROAD
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City | COLDWATER
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State | MS
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Zip | 38618
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Country | US
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Telephone | 662-403-9278
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Fax |
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Provider Business Mailing Address
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Address Line | 1407 UNION AVENUE
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City | MEMPHIS
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State | TN
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Zip | 38104
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Country | US
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Telephone | 901-201-1791
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Fax | 901-278-4229
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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