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General NPI Number Information
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NPI Number | 1891564480
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Entity Type | Organization
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Legal Business Name | SATURDAY CLINIC
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 2873 E FORK RD
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City | RIPLEY
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State | OH
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Zip | 45167-9628
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Country | US
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Telephone | 614-740-3365
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | ABERDEEN
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State | OH
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Zip | 45101-0010
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Country | US
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Telephone | 614-740-3365
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICIAN
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Name | CHRISTOPHER BONINE
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Credential |
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Telephone | 614-740-3365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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