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General NPI Number Information
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NPI Number | 1861632861
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Entity Type | Organization
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Legal Business Name | SAVANT MEDICAL GROUP INC
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 1 SHRADER ST SUITE 550
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-387-8031
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Fax | 415-668-8325
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Provider Business Mailing Address
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Address Line | 1 SHRADER ST SUITE 550
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-1016
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Country | US
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Telephone | 415-387-8031
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Fax | 415-668-8325
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. MARK J SAVANT
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Credential | MD
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Telephone | 415-387-8031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | FNP38281
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License Number State | CA
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