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General NPI Number Information
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NPI Number | 1316344153
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Entity Type | Organization
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Legal Business Name | REJUV SAVAGE MANAGEMENT
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 7373 FRANCE AVE S STE 606
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City | EDINA
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State | MN
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Zip | 55435-4552
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Country | US
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Telephone | 952-777-3899
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Fax |
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Provider Business Mailing Address
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Address Line | 7373 FRANCE AVE S STE 606
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City | EDINA
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State | MN
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Zip | 55435-4552
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Country | US
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Telephone | 952-777-3899
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Fax |
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | JENNIFER EULL
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Credential | PHD
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Telephone | 320-952-1320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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