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General NPI Number Information
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NPI Number | 1437663234
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Entity Type | Individual
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Provider Name | SIAURA SAVILLE MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 1001 GARBERS CHURCH RD
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City | HARRISONBURG
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State | VA
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Zip | 22801-8421
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Country | US
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Telephone | 540-421-5730
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Fax |
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Provider Business Mailing Address
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Address Line | 2057 CHANNING DR UNIT 403
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City | ROCKINGHAM
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State | VA
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Zip | 22801-3073
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Country | US
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Telephone | 540-325-4616
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0126002809
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License Number State | VA
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