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NPI 1750272530

NPI 1750272530 : SAVANNAH CARAWAN OTD : RICHMOND, VA

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General NPI Number Information
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    NPI Number           |    1750272530
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    Entity Type          |    Individual 
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    Provider Name        |    SAVANNAH CARAWAN OTD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/10/2025
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    Last Update Date     |    07/10/2025
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Provider Practice Location Address
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    Address Line         |    1602 SKIPWITH RD 
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    City                 |    RICHMOND
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    State                |    VA
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    Zip                  |    23229-5205
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    Country              |    US
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    Telephone            |    804-289-4500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15631 MOSS LIGHT PL 
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    City                 |    MOSELEY
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    State                |    VA
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    Zip                  |    23120-1613
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    Country              |    US
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    Telephone            |    804-971-2088
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    514543
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    License Number State |    VA
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