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NPI 1902011331

NPI 1902011331 : CLARE MICHELLE SAVAGE MD : ENID, OK

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General NPI Number Information
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    NPI Number           |    1902011331
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    Entity Type          |    Individual 
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    Provider Name        |    CLARE MICHELLE SAVAGE MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/11/2007
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    Last Update Date     |    05/01/2019
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Provider Practice Location Address
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    Address Line         |    1119 W CHERRY AVE 
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    City                 |    ENID
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    State                |    OK
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    Zip                  |    73703-3320
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    Country              |    US
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    Telephone            |    214-504-6156
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3508 SOUTHWESTERN BLVD 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75225-7454
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    Country              |    US
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    Telephone            |    214-616-4502
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    Fax                  |    214-504-6156
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    M5486
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2085R0204X
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    Taxonomy Name        |    Vascular & Interventional Radiology Physician
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    License Number       |    33190
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    License Number State |    OK
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