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NPI 1952187262

NPI 1952187262 : BEN EDWARD SAVELLI ASW : TRUCKEE, CA

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General NPI Number Information
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    NPI Number           |    1952187262
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    Entity Type          |    Individual 
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    Provider Name        |    BEN EDWARD SAVELLI ASW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/01/2023
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    Last Update Date     |    09/19/2025
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Provider Practice Location Address
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    Address Line         |    11025 PIONEER TRL UNIT 101B 
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    City                 |    TRUCKEE
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    State                |    CA
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    Zip                  |    96161-0250
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    Country              |    US
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    Telephone            |    530-562-7878
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11025 PIONEER TRL UNIT 101B 
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    City                 |    TRUCKEE
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    State                |    CA
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    Zip                  |    96161-0250
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    Country              |    US
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    Telephone            |    530-562-7878
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    120456
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    License Number State |    CA
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