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General NPI Number Information
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NPI Number | 1467173914
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Entity Type | Individual
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Provider Name | SAVANNAH JANE MCALOOSE DPT, PT
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 3455 REWAK DR
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City | FAIRBANKS
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State | AK
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Zip | 99709-5024
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Country | US
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Telephone | 907-457-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 3455 REWAK DR STE 106
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City | FAIRBANKS
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State | AK
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Zip | 99709-5024
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Country | US
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Telephone | 907-457-5322
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT61345514
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12280
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 237726
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License Number State | AK
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