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NPI 1669719431

NPI 1669719431 : SABA ADHAL PSY.D : PANAMA CITY, FL

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General NPI Number Information
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    NPI Number           |    1669719431
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    Entity Type          |    Individual 
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    Provider Name        |    SABA ADHAL PSY.D
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/13/2013
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    Last Update Date     |    01/13/2013
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Provider Practice Location Address
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    Address Line         |    3001 FAIRMONT DR 
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    City                 |    PANAMA CITY
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    State                |    FL
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    Zip                  |    32405-4350
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    Country              |    US
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    Telephone            |    850-832-4670
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3001 FAIRMONT DR 
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    City                 |    PANAMA CITY
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    State                |    FL
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    Zip                  |    32405-4350
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    Country              |    US
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    Telephone            |    850-832-4670
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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