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General NPI Number Information
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NPI Number | 1629902119
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Entity Type | Individual
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Provider Name | SAVANNAH MICHELLE DAY PTA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 718 22ND AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33705-3004
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Country | US
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Telephone | 272-894-5125
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Fax |
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Provider Business Mailing Address
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Address Line | 473 WOODLAND CT SE
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City | WISE
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State | VA
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Zip | 24293-6205
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA34813
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License Number State | FL
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