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General NPI Number Information
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NPI Number | 1588218333
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Entity Type | Individual
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Provider Name | SAVANNAH FAYE COLE LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/30/2019
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Last Update Date | 10/18/2022
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Provider Practice Location Address
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Address Line | 2348 APACHE DR
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City | BISHOP
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State | CA
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Zip | 93514-1951
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Country | US
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Telephone | 760-920-6323
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Fax |
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Provider Business Mailing Address
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Address Line | 2348 APACHE DR
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City | BISHOP
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State | CA
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Zip | 93514-1951
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Country | US
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Telephone | 760-614-0766
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 113202
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 129868
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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