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General NPI Number Information
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NPI Number | 1770391500
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Entity Type | Individual
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Provider Name | SAVANNAH SLAUGHTER RN, RNC-MNN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 1436 RAVINIA RD
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City | CHARLESTON
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State | WV
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Zip | 25314-1842
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Country | US
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Telephone | 304-542-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 1436 RAVINIA RD
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City | CHARLESTON
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State | WV
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Zip | 25314-1842
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Country | US
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Telephone | 304-542-7284
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-316964
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License Number State | WV
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