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General NPI Number Information
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NPI Number | 1427011089
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Entity Type | Individual
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Provider Name | ROLAND I SAAVEDRA MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 4400 DORCHESTER RD STE 117
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City | CHARLESTON
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State | SC
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Zip | 29405-6849
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Country | US
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Telephone | 843-278-8291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740013
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City | ATLANTA
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State | GA
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Zip | 30374-0013
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Country | US
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Telephone | 312-733-9730
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25789
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License Number State | SC
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