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General NPI Number Information
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NPI Number | 1700889466
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Entity Type | Individual
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Provider Name | A JOSEPH SALAIS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 10400 W OVERLAND RD #214
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City | BOISE
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State | ID
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Zip | 83709-1433
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Country | US
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Telephone | 925-942-7110
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Fax | 208-297-6551
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Provider Business Mailing Address
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Address Line | 10400 W OVERLAND RD #214
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City | BOISE
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State | ID
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Zip | 83709-1433
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Country | US
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Telephone | 925-942-7110
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Fax | 208-297-6551
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY12750
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License Number State | CA
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