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General NPI Number Information
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NPI Number | 1871900605
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Entity Type | Individual
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Provider Name | JENNIFER SAVAGE BURGETT PHD, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1701 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-3353
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Country | US
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Telephone | 256-782-5423
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Fax |
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Provider Business Mailing Address
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Address Line | 6197 VISTA TRL
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City | SOUTHSIDE
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State | AL
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Zip | 35907-5644
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Country | US
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Telephone | 770-519-0129
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 2399
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 2516
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT002260
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2399
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License Number State | AL
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