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NPI 1316664048

NPI 1316664048 : SAVANNAH RECTOR : KNOXVILLE, TN

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General NPI Number Information
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    NPI Number           |    1316664048
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    Entity Type          |    Individual 
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    Provider Name        |    SAVANNAH RECTOR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/24/2022
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    Last Update Date     |    06/06/2023
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Provider Practice Location Address
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    Address Line         |    3047 HACKMAN ST 
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    City                 |    KNOXVILLE
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    State                |    TN
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    Zip                  |    37920-3514
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    Country              |    US
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    Telephone            |    423-519-2788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8114 
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    City                 |    CHATTANOOGA
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    State                |    TN
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    Zip                  |    37414-0114
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    Country              |    US
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    Telephone            |    423-622-1551
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    Fax                  |    
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    7487
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    License Number State |    TN
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