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General NPI Number Information
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NPI Number | 1104802206
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Entity Type | Organization
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Legal Business Name | JOHN SAVIDAKIS JR.,P.A.
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 08/23/2013
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Provider Practice Location Address
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Address Line | 2701 PARK DR SUITE 6
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City | CLEARWATER
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State | FL
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Zip | 33763-1021
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Country | US
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Telephone | 727-796-1490
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Fax | 727-797-5611
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Provider Business Mailing Address
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Address Line | 2701 PARK DR SUITE 6
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City | CLEARWATER
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State | FL
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Zip | 33763-1021
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Country | US
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Telephone | 727-796-1490
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Fax | 727-797-5611
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN SAVIDAKIS
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Credential | D.P.M.
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Telephone | 727-796-1490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO0002430
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License Number State | FL
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