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NPI 1487855524

NPI 1487855524 : SAVINI ENTERPRISES, L.L.C. : CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1487855524
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAVINI ENTERPRISES, L.L.C. 
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Dates
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    Enumeration Date     |    05/29/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    4 CARRIAGE LN SUITE 400A
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29407-6065
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    Country              |    US
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    Telephone            |    843-534-6212
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1150 HUNGRYNECK BLVD BOX C 363
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    City                 |    MOUNT PLEASANT
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    State                |    SC
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    Zip                  |    29464-3484
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    Country              |    US
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    Telephone            |    843-534-6212
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     MICHAEL D SAVINI 
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    Credential           |    
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    Telephone            |    843-534-6212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    302R00000X
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    Taxonomy Name        |    Health Maintenance Organization
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    License Number       |    
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    License Number State |    
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