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General NPI Number Information
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NPI Number | 1265718803
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Entity Type | Organization
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Legal Business Name | LIZA MARIE G. SAVIANO, DPM
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Dates
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Enumeration Date | 10/27/2011
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Last Update Date | 10/27/2011
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Provider Practice Location Address
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Address Line | 311 N WALNUT AVE
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City | WOOD DALE
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State | IL
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Zip | 60191-1566
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Country | US
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Telephone | 630-860-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 60 MAIN ST
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City | OSWEGO
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State | IL
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Zip | 60543-8594
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Country | US
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Telephone | 630-554-1450
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Fax | 630-554-1451
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Authorized Official
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Title or Position | OWNER
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Name | LIZA MARIE G SAVIANO
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Credential | DPM
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Telephone | 630-554-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016-005018
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License Number State | IL
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