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General NPI Number Information
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NPI Number | 1700113685
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Entity Type | Organization
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Legal Business Name | SAVAGE AND COMPANY, INC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 21 OLD KINGS RD N SUITE B-208
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City | PALM COAST
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State | FL
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Zip | 32137-8254
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Country | US
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Telephone | 386-503-4388
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Fax | 386-447-1357
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Provider Business Mailing Address
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Address Line | 47 FREEMONT TURN
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City | PALM COAST
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State | FL
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Zip | 32137-8416
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Country | US
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Telephone | 386-503-4388
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Fax | 386-447-1357
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | MRS. STACY A SAVAGE
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Credential | M.S., LMHC, CAP
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Telephone | 386-503-4388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CAP 4540
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8612
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License Number State | FL
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