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General NPI Number Information
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NPI Number | 1194445981
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Entity Type | Individual
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Provider Name | ROBERTA SAVERINO MT- 28558
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 2701 N 7TH ST
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City | PHOENIX
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State | AZ
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Zip | 85006-1004
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Country | US
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Telephone | 602-307-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 E WASHINGTON ST APT 3001
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City | PHOENIX
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State | AZ
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Zip | 85034-2157
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Country | US
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Telephone | 520-840-4193
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 28558
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License Number State | AZ
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