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General NPI Number Information
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NPI Number | 1710412820
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Entity Type | Individual
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Provider Name | SAAIRE SALTON
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Gender | Female
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Dates
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Enumeration Date | 04/26/2017
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 1845 N FARWELL AVE LOCKETT ENTERPRISES SUITE 301
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City | MILWAUKEE
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State | WI
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Zip | 53202-1793
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Country | US
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Telephone | 414-817-4399
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Fax |
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Provider Business Mailing Address
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Address Line | 6547 N 73RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53223-6121
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Country | US
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Telephone | 414-865-3603
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 17352
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License Number State | WI
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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 | 3310
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 16163
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License Number State | WI
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