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General NPI Number Information
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NPI Number | 1013139666
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Entity Type | Individual
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Provider Name | JEFFREY ALLEN SAVAGE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 1502 SE 28TH STREET SUITE 2
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City | BENTONVILLE
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State | AR
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Zip | 72712
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Country | US
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Telephone | 479-282-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 1706 SW GOSFORD AVE
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City | BENTONVILLE
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State | AR
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Zip | 72712-7929
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Country | US
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Telephone | 479-372-2165
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E5131
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License Number State | AR
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