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NPI 1629299839

NPI 1629299839 : RONALD J SAVARESE DO : YORK, PA

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General NPI Number Information
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    NPI Number           |    1629299839
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD J SAVARESE DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/02/2007
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    Last Update Date     |    03/24/2021
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Provider Practice Location Address
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    Address Line         |    1703 INNOVATION DR STE 4120 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17408-8815
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    Country              |    US
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    Telephone            |    717-849-5576
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    Fax                  |    717-849-5596
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Provider Business Mailing Address
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    Address Line         |    1703 INNOVATION DR STE 108 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17408-8815
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    Country              |    US
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    Telephone            |    717-849-5576
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    Fax                  |    717-849-5596
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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        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    OS014139
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    OS014139
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    25MB08067600
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    License Number State |    NJ
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Taxonomy #4
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    OS014139
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    License Number State |    PA
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