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General NPI Number Information
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NPI Number | 1831671494
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Entity Type | Individual
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Provider Name | SAVANNAH MCGRAW SLP
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Gender | Female
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 02/20/2021
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Provider Practice Location Address
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Address Line | 12550 GUMPER CT
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City | FORT WORTH
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State | TX
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Zip | 76126-6317
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Country | US
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Telephone | 817-601-5147
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 126322
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City | BENBROOK
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State | TX
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Zip | 76126-0322
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Country | US
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Telephone | 817-791-9262
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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 | 113517
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License Number State | TX
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