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NPI 1881321131

NPI 1881321131 : SAVOY MEDICAL MANAGEMENT GROUP, INC : OBERLIN, LA

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General NPI Number Information
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    NPI Number           |    1881321131
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAVOY MEDICAL MANAGEMENT GROUP, INC 
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Dates
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    Enumeration Date     |    08/05/2022
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    Last Update Date     |    06/13/2024
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Provider Practice Location Address
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    Address Line         |    616 COURT ST. 
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    City                 |    OBERLIN
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    State                |    LA
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    Zip                  |    70655
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    Country              |    US
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    Telephone            |    337-468-0427
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    Fax                  |    337-468-3342
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Provider Business Mailing Address
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    Address Line         |    801 POINCIANA AVE 
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    City                 |    MAMOU
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    State                |    LA
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    Zip                  |    70554-2298
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    Country              |    US
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    Telephone            |    337-639-2067
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     LANCE JOSEPH ARMENTOR 
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    Credential           |    
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    Telephone            |    337-468-0350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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