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General NPI Number Information
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NPI Number | 1477020105
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Entity Type | Individual
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Provider Name | SAVANNA ELIZABETH MAJOR MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 10/31/2018
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Last Update Date | 10/31/2018
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Provider Practice Location Address
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Address Line | 1378 RED DALE RD
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City | ORWIGSBURG
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State | PA
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Zip | 17961-9464
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Country | US
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Telephone | 570-573-3293
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Fax |
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Provider Business Mailing Address
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Address Line | 57 N BALLIET ST
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City | FRACKVILLE
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State | PA
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Zip | 17931-1301
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Country | US
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Telephone | 570-590-0114
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OC015931
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License Number State | PA
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