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General NPI Number Information
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NPI Number | 1295859833
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Entity Type | Individual
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Provider Name | JUAN M SAAVEDRA MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 10/12/2011
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Provider Practice Location Address
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Address Line | 10401 OLD GEORGETOWN RD 208
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City | BETHESDA
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State | MD
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Zip | 20814-1911
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Country | US
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Telephone | 301-564-6320
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Fax | 301-530-4731
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Provider Business Mailing Address
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Address Line | 9510 KINGSLEY AVE
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City | BETHESDA
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State | MD
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Zip | 20814-1637
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Country | US
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Telephone | 301-564-6320
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Fax | 301-530-4731
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D0022618
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License Number State | MD
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