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General NPI Number Information
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NPI Number | 1295524700
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Entity Type | Individual
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Provider Name | SAVANNAH HOPE BROCK APRN, CNP, RN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 155 PARK DR
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City | SAINT ROBERT
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State | MO
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Zip | 65584-7860
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Country | US
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Telephone | 844-853-8937
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 COMMUNITY
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City | CLINTON
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State | MO
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Zip | 64735-8804
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Country | US
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Telephone | 844-853-8937
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Fax | 660-885-3690
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2025035027
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 517822
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2379664
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10026807
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 517822
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License Number State | MO
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Taxonomy #6
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95229440
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041538582
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2525512
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License Number State | MN
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 889270
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704398702
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License Number State | MI
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Taxonomy #11
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2023019183
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License Number State | MO
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Taxonomy #12
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN200005895
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License Number State | DC
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