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General NPI Number Information
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NPI Number | 1336967215
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Entity Type | Individual
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Provider Name | BARKISU SAVAGE
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 11116 MEDICAL CAMPUS RD
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6710
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Country | US
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Telephone | 301-790-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 7 MAGGIE CT
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-8453
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Country | US
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Telephone | 240-308-9872
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC007159
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 0001234702
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License Number State | VA
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