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General NPI Number Information
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NPI Number | 1437500436
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Entity Type | Individual
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Provider Name | SAVANNA LOAFMAN LLP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 1440 TORREY RD STE E
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City | FENTON
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State | MI
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Zip | 48430
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Country | US
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Telephone | 810-449-8325
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Fax | 108-850-6958
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Provider Business Mailing Address
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Address Line | 1440 TORREY RD STE E
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City | FENTON
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State | MI
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Zip | 48430-1340
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Country | US
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Telephone | 810-449-8325
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Fax | 810-885-0695
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301016717
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License Number State | MI
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