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General NPI Number Information
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NPI Number | 1265950208
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Entity Type | Individual
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Provider Name | SAVANNAH FRASIER LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1330 NEAL ST STE D
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City | COOKEVILLE
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State | TN
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Zip | 38501-4307
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Country | US
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Telephone | 931-650-3352
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Fax | 931-961-9008
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Provider Business Mailing Address
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Address Line | 200 TECH CENTER DR
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City | KNOXVILLE
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State | TN
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Zip | 37912-2747
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Country | US
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Telephone | 865-637-9711
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5012
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License Number State | TN
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