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General NPI Number Information
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NPI Number | 1548630072
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Entity Type | Individual
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Provider Name | SAMANTHA INES SAVARINO APRN
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Gender | Female
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Dates
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Enumeration Date | 09/26/2015
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 64 DOUBLE HILL RD
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City | BETHLEHEM
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State | CT
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Zip | 06751-1101
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Country | US
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Telephone | 203-884-8652
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Fax |
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Provider Business Mailing Address
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Address Line | 11 PASSAIC VALLEY RD
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City | MONTVILLE
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State | NJ
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Zip | 07045-9635
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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 | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | TAP8184
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7412
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License Number State | CT
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