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General NPI Number Information
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NPI Number | 1346367331
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Entity Type | Individual
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Provider Name | SANDRA LYNN SAVAGE DO
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 12/02/2020
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Provider Practice Location Address
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Address Line | 1006 NEW MOODY LN FL 1
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City | LA GRANGE
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State | KY
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Zip | 40031-9122
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Country | US
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Telephone | 502-222-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 COMMERCE CROSSING, 3RD FLOOR ATTN: PROVIDER ENROLLMENT
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City | LOUISVILLE
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State | KY
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Zip | 40229
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Country | US
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Telephone | 502-253-4900
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 03154
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License Number State | KY
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