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General NPI Number Information
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NPI Number | 1538854146
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Entity Type | Individual
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Provider Name | SAVANA BETH EARNEST M.A, ED.S, NCSP
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Gender | Female
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 07/02/2023
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Provider Practice Location Address
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Address Line | 200 ELIZABETH ST
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City | CHARLESTON
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State | WV
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Zip | 25311-2119
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Country | US
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Telephone | 304-348-7740
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Fax |
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Provider Business Mailing Address
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Address Line | 100 FLORIDA ST
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City | CHARLESTON
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State | WV
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Zip | 25302-1131
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Country | US
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Telephone |
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | N6E145700089
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License Number State | WV
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