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General NPI Number Information
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NPI Number | 1881097269
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Entity Type | Individual
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Provider Name | SAVANNAH MOTT D.V.M.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 5714 W 13400 S
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City | HERRIMAN
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State | UT
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Zip | 84096-6907
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Country | US
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Telephone | 801-446-5194
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Fax |
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Provider Business Mailing Address
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Address Line | 1593 W SECRET GARDEN PL APT 257
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City | SALT LAKE CITY
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State | UT
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Zip | 84104-4051
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Country | US
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Telephone |
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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 | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 90612112802
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License Number State | UT
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