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General NPI Number Information
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NPI Number | 1124860663
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Entity Type | Individual
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Provider Name | SAVANNAH GRACE SZPUR
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Gender | Female
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 223 BROAD ST NW
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City | CLEVELAND
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State | TN
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Zip | 37311-5037
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Country | US
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Telephone | 423-225-1624
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Fax |
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Provider Business Mailing Address
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Address Line | 3187 LOWER RIVER RD NW
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City | GEORGETOWN
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State | TN
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Zip | 37336-4861
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Country | US
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Telephone | 423-716-7202
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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