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General NPI Number Information
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NPI Number | 1780226720
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Entity Type | Individual
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Provider Name | SAVANNAH WILLIFORD LPCC
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 94 DOGPATCH TRADING CTR
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City | LONDON
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State | KY
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Zip | 40741-8292
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Country | US
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Telephone | 606-260-8905
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | PITTSBURG
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State | KY
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Zip | 40755-0145
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Country | US
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Telephone | 606-682-8611
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 288905
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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