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General NPI Number Information
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NPI Number | 1962207878
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Entity Type | Individual
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Provider Name | SAVANNAH DEDMON RN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 7710 OSTEEN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2324
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Country | US
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Telephone | 727-264-6497
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 OSTEEN RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2324
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 9606096
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License Number State | FL
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