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General NPI Number Information
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NPI Number | 1518872720
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Entity Type | Individual
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Provider Name | RUBY MATTESON SAVANT M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 202 PRAIRIE ST.
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City | MORRISONVILLE
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State | IL
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Zip | 62546
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Country | US
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Telephone | 217-526-8121
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Fax | 217-526-8205
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Provider Business Mailing Address
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Address Line | 140 CAHOKIA ST
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City | BENLD
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State | IL
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Zip | 62009-1156
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Country | US
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Telephone | 217-710-7443
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2683172
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License Number State | IL
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