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General NPI Number Information
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NPI Number | 1124586938
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Entity Type | Organization
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Legal Business Name | SAVIDA AGENCY, INC.
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 4923 OGLETOWN STANTON RD STE 110
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City | NEWARK
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State | DE
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Zip | 19713-2081
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Country | US
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Telephone | 833-356-4080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 291943
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City | NASHVILLE
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State | TN
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Zip | 37229-1943
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Country | US
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Telephone | 833-952-0829
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Fax |
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE MANAGEMENT
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Name | MARINA MAHONEY
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Credential |
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Telephone | 913-213-1084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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