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General NPI Number Information
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NPI Number | 1649618760
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Entity Type | Organization
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Legal Business Name | GARY E SAVILL, PH.D., LLC
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 06/11/2013
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Provider Practice Location Address
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Address Line | 1828 MOVA ST
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City | SARASOTA
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State | FL
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Zip | 34231-7718
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Country | US
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Telephone | 941-586-6880
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Fax | 941-894-1105
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Provider Business Mailing Address
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Address Line | 1828 MOVA ST
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City | SARASOTA
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State | FL
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Zip | 34231-7718
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Country | US
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Telephone | 941-586-6880
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Fax | 941-894-1105
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. GARY E SAVILL
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Credential | PH.D.
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Telephone | 941-586-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | PY 7528
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License Number State | FL
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