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General NPI Number Information
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NPI Number | 1679397681
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Entity Type | Organization
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Legal Business Name | SAVANNAHCARE CO
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1515 MARKET ST STE 1200785
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1921
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Country | US
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Telephone | 267-582-0110
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Fax | 484-463-0574
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Provider Business Mailing Address
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Address Line | 1515 MARKET ST STE 1200785
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1921
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Country | US
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Telephone | 267-582-0110
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Fax | 484-463-0574
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Authorized Official
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Title or Position | CEO
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Name | MRS. SARAH N MCFADDEN
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Credential | B.S.W.
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Telephone | 267-582-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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