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General NPI Number Information
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NPI Number | 1306173810
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Entity Type | Organization
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Legal Business Name | SAVOY MEDICAL MANAGEMENT GROUP, INC.
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Dates
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Enumeration Date | 11/05/2009
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 907 MAIN STREET
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City | ELTON
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State | LA
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Zip | 70532
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Country | US
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Telephone | 337-584-2237
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Fax | 337-584-2148
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Provider Business Mailing Address
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Address Line | 801 POINCIANA AVE
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City | MAMOU
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State | LA
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Zip | 70554-2243
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Country | US
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Telephone | 337-468-5261
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Fax | 337-468-3342
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL W. JOHNSON
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Credential | CPA
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Telephone | 337-468-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | 149
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License Number State | LA
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