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General NPI Number Information
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NPI Number | 1053036772
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Entity Type | Individual
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Provider Name | NICHOLAS PAUL SAVIANO DC
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Gender | Male
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 390 EL CAMINO REAL STE I
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City | BELMONT
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State | CA
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Zip | 94002-2006
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Country | US
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Telephone | 650-444-0682
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Fax |
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Provider Business Mailing Address
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Address Line | 265 GAMBREL CIR
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City | SANTA ROSA
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State | CA
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Zip | 95403-2895
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Country | US
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Telephone | 650-444-0682
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 35071
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License Number State | CA
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