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General NPI Number Information
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NPI Number | 1407849912
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Entity Type | Individual
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Provider Name | DONALD ALFRED SAVITZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1051 LONG RIDGE RD
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City | STAMFORD
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State | CT
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Zip | 06903-4436
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Country | US
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Telephone | 203-329-7960
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Fax | 203-329-7920
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Provider Business Mailing Address
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Address Line | 97 DEEP VALLEY RD
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City | STAMFORD
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State | CT
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Zip | 06903-2727
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Country | US
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Telephone | 203-322-0908
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Fax | 203-322-0703
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 035805
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License Number State | CT
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