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NPI 1013947977

NPI 1013947977 : JEFFREY G. SAVRAN DPM : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1013947977
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    Entity Type          |    Individual 
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    Provider Name        |    JEFFREY G. SAVRAN DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    05/07/2012
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Provider Practice Location Address
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    Address Line         |    9858 GLADES RD D5
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33434-3983
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    Country              |    US
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    Telephone            |    561-852-8950
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    Fax                  |    561-883-9965
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Provider Business Mailing Address
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    Address Line         |    9858 GLADES RD STE D5 
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33434-3982
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    Country              |    US
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    Telephone            |    561-852-8950
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    Fax                  |    561-883-9965
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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        |    213EP1101X
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    Taxonomy Name        |    Primary Podiatric Medicine Podiatrist
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    License Number       |    PO1202
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    213ES0131X
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    Taxonomy Name        |    Foot Surgery Podiatrist
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    License Number       |    PO1202
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    License Number State |    FL
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