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General NPI Number Information
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NPI Number | 1871330308
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Entity Type | Individual
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Provider Name | SAVANNAH TEUTSCH
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Gender | Female
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 2509 N CAPITOL ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-1014
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Country | US
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Telephone | 845-554-8414
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 N CAROLINA AVE NE
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City | WASHINGTON
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State | DC
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Zip | 20002-6530
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Country | US
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Telephone | 845-554-8414
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 23-275663
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License Number State | TX
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