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General NPI Number Information
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NPI Number | 1528256179
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Entity Type | Individual
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Provider Name | JESSICA LORYNN SAVAGE APN
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 301 WOLVERINE TRL SUITE 200
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City | SMYRNA
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State | TN
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Zip | 37167-5656
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Country | US
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Telephone | 615-459-5228
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Fax |
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Provider Business Mailing Address
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Address Line | 301 WOLVERINE TRL SUITE 200
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City | SMYRNA
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State | TN
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Zip | 37167-5656
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Country | US
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Telephone | 615-554-1484
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 12743
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License Number State | TN
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