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NPI 1962231100

NPI 1962231100 : CAROLINE SAVAGE SLPA : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1962231100
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    Entity Type          |    Individual 
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    Provider Name        |    CAROLINE SAVAGE SLPA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2024
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    Last Update Date     |    03/24/2025
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Provider Practice Location Address
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    Address Line         |    6817 SOUTHPOINT PKWY STE 1602 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-6298
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    Country              |    US
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    Telephone            |    904-945-7556
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    Fax                  |    904-379-0113
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Provider Business Mailing Address
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    Address Line         |    6817 SOUTHPOINT PKWY STE 1602 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32216-6298
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    Country              |    US
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    Telephone            |    904-945-7556
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    Fax                  |    904-379-0113
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    SI7173
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    License Number State |    FL
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