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General NPI Number Information
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NPI Number | 1871922732
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Entity Type | Individual
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Provider Name | GILA ANN SAKS PHD
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Gender | Female
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 5315 E BROADWAY BLVD STE 201
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City | TUCSON
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State | AZ
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Zip | 85711-3719
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Country | US
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Telephone | 520-444-6697
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Fax |
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Provider Business Mailing Address
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Address Line | 6271 E PLACITA ASPECTO
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City | TUCSON
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State | AZ
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Zip | 85750-1286
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Country | US
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Telephone | 520-444-6697
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1890
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License Number State | AZ
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