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General NPI Number Information
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NPI Number | 1255365532
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Entity Type | Individual
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Provider Name | SUZANNE KAY SAVILLE DDS.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/16/2014
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Provider Practice Location Address
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Address Line | 16312 3RD STREET
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City | GUERNEVILLE
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State | CA
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Zip | 95446
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Country | US
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Telephone | 707-869-2933
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Fax | 707-869-2663
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Provider Business Mailing Address
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Address Line | PO BOX 226
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City | GUERNEVILLE
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State | CA
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Zip | 95446
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Country | US
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Telephone | 707-869-2933
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Fax | 707-869-2663
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 6085
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6085
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 63282
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License Number State | CA
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