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General NPI Number Information
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NPI Number | 1821321555
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Entity Type | Individual
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Provider Name | STEPHANIE SAVASTA LIC. AC
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 564 LORING AVE STE 4
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City | SALEM
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State | MA
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Zip | 01970-4276
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Country | US
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Telephone | 808-268-8072
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Fax |
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Provider Business Mailing Address
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Address Line | 11 EDEN ST
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City | SALEM
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State | MA
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Zip | 01970-4706
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Country | US
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Telephone | 808-268-8072
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 239661
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License Number State | MA
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