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General NPI Number Information
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NPI Number | 1609896125
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Entity Type | Organization
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Legal Business Name | JENNIFER SAVITZ, RN, PH.D, PA
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/06/2012
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Provider Practice Location Address
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Address Line | 2016 ASSEMBLY ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2142
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Country | US
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Telephone | 803-254-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 ASSEMBLY ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2142
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Country | US
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Telephone | 803-254-4460
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | JENNIFER SAVITZ
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Credential | RN, PH.D
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Telephone | 803-254-4460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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