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General NPI Number Information
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NPI Number | 1134364045
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Entity Type | Individual
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Provider Name | DOMINICK R. SAVINO RPA-C
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Gender | Male
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Dates
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Enumeration Date | 12/05/2008
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Last Update Date | 12/05/2008
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Provider Practice Location Address
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Address Line | 1901 1ST AVE DEPARTMENT OF SURGERY
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-6368
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Fax | 212-423-6375
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Provider Business Mailing Address
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Address Line | 6633 YELLOWSTONE BLVD APT 1D
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City | FOREST HILLS
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State | NY
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Zip | 11375-2501
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Country | US
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Telephone | 631-521-6616
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 013043
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License Number State | NY
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