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General NPI Number Information
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NPI Number | 1982320768
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Entity Type | Individual
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Provider Name | JUSTINE SAVAGE
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Gender | Female
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD STE 530
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City | ENCINO
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State | CA
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Zip | 91436-4312
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Country | US
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Telephone | 818-398-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 12033 ESTRELLA PL
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City | PORTER RANCH
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State | CA
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Zip | 91326-4723
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Country | US
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Telephone | 507-226-1443
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 108221
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License Number State | CA
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