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General NPI Number Information
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NPI Number | 1275140626
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Entity Type | Organization
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Legal Business Name | SAVOY WELLNESS CENTER LLC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1209 N 32ND ST
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City | RICHMOND
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State | VA
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Zip | 23223-6711
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Country | US
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Telephone | 301-655-2291
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Fax |
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Provider Business Mailing Address
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Address Line | 3126 W CARY ST
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City | RICHMOND
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State | VA
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Zip | 23221-3504
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Country | US
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Telephone | 301-655-2291
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | INDRIA VIOLENE SAVOY
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Credential | LCSW, LMHP
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Telephone | 301-655-2291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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