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General NPI Number Information
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NPI Number | 1821634874
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Entity Type | Individual
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Provider Name | SAVANNAH VANCE CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 2701 CHESTNUT STATION CT
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City | LOUISVILLE
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State | KY
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Zip | 40299-6395
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Country | US
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Telephone | 800-335-1060
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Fax |
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Provider Business Mailing Address
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Address Line | 4501 WOODCOCK WAY
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City | HIGHLAND
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State | MI
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Zip | 48357-3970
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Country | US
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Telephone | 248-758-8811
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 190091
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1435733
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 7101007032
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License Number State | MI
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