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General NPI Number Information
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NPI Number | 1568157105
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Entity Type | Organization
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Legal Business Name | SAVANNAH HEALTH INC
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Dates
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Enumeration Date | 04/10/2023
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 472 E 4TH ST
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1633
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Country | US
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Telephone | 646-924-8637
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Fax | 914-840-1180
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Provider Business Mailing Address
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Address Line | 472 E 4TH ST
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City | MOUNT VERNON
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State | NY
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Zip | 10553-1633
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Country | US
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Telephone | 646-924-8637
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Fax | 914-840-1180
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Authorized Official
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Title or Position | CEO
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Name | JENNIFER GOMEZ
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Credential |
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Telephone | 646-924-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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