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General NPI Number Information
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NPI Number | 1063376473
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Entity Type | Individual
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Provider Name | SAVANNAH HAKE
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Gender | Female
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 300 EVERGREEN DR STE 220
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City | GLEN MILLS
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State | PA
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Zip | 19342-1059
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Country | US
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Telephone | 610-579-3650
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Fax | 833-941-3871
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Provider Business Mailing Address
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Address Line | PO BOX 34990
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City | BELFAST
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State | ME
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Zip | 04915-0627
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Country | US
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Telephone | 610-359-5672
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Fax | 833-941-3871
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT033813
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License Number State | PA
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