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General NPI Number Information
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NPI Number | 1760832661
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Entity Type | Individual
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Provider Name | KIMBERLY ANN SAVAGE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 812 N CHARLOTTE ST
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City | DICKSON
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State | TN
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Zip | 37055-1009
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Country | US
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Telephone | 615-392-0206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5777
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City | MARYVILLE
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State | TN
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Zip | 37802-5777
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Country | US
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Telephone | 865-246-2104
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 198060
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 21862
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License Number State | TN
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