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General NPI Number Information
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NPI Number | 1710849344
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Entity Type | Individual
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Provider Name | SAVONA BATEMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 413 LILLY RD NE STE LL-H10
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City | OLYMPIA
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State | WA
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Zip | 98506-5133
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Country | US
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Telephone | 360-493-7412
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 COOKS HILL RD STE P
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City | CENTRALIA
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State | WA
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Zip | 98531-9162
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH61600836
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License Number State | WA
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