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General NPI Number Information
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NPI Number | 1588765994
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Entity Type | Individual
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Provider Name | SAVITHRI SAGI RAJU DDS
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Gender | Female
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 08/30/2007
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Provider Practice Location Address
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Address Line | 7908 CARNEGIE BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46804-5781
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Country | US
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Telephone | 260-423-2525
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Fax | 260-424-3300
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Provider Business Mailing Address
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Address Line | 126 CHESTNUT HILLS PKWY
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City | FORT WAYNE
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State | IN
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Zip | 46814-8924
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Country | US
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Telephone | 260-625-5846
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12010423A
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License Number State | IN
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