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General NPI Number Information
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NPI Number | 1922851047
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Entity Type | Individual
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Provider Name | SAVANNAH DIMPNA SHORT APCC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 628 MONTEZUMA ST
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City | RIO VISTA
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State | CA
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Zip | 94571-1622
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Country | US
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Telephone | 707-374-5243
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Fax |
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Provider Business Mailing Address
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Address Line | 1214 ASPEN PL
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City | DAVIS
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State | CA
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Zip | 95616-2036
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Country | US
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Telephone | 916-591-4668
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC19941
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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