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General NPI Number Information
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NPI Number | 1083502181
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Entity Type | Individual
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Provider Name | SAVANA ELIZABETH JOHNSON CSA, CSFA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 5801 BREMO RD
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City | RICHMOND
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State | VA
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Zip | 23226-1900
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Country | US
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Telephone | 804-285-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 3600 W BROAD ST APT 604
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City | RICHMOND
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State | VA
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Zip | 23230-4948
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Country | US
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Telephone | 515-782-9918
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 0136001066
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License Number State | VA
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