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General NPI Number Information
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NPI Number | 1538113741
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Entity Type | Organization
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Legal Business Name | SHELLY N SAVANT MD LLC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 324 SETTLERS TRACE BLVD STE 203
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City | LAFAYETTE
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State | LA
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Zip | 70508-6084
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Country | US
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Telephone | 337-456-2403
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Fax | 337-412-6436
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Provider Business Mailing Address
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Address Line | 324 SETTLERS TRACE BLVD STE 203
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City | LAFAYETTE
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State | LA
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Zip | 70508-6084
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Country | US
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Telephone | 337-456-2403
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Fax | 337-412-6436
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. SHELLY N SAVANT
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Credential | MD
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Telephone | 337-456-2403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 025564
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License Number State | LA
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