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General NPI Number Information
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NPI Number | 1093078164
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Entity Type | Individual
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Provider Name | JOANNA SAVARESE PHD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 731 S HIGHWAY 101 STE 1E
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2628
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Country | US
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Telephone | 858-752-4396
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Fax |
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Provider Business Mailing Address
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Address Line | 731 S HIGHWAY 101 STE 1E
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City | SOLANA BEACH
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State | CA
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Zip | 92075-2628
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Country | US
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Telephone | 858-752-4396
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 24973
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 24973
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 24973
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 24973
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 24973
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License Number State | CA
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