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General NPI Number Information
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NPI Number | 1023264298
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Entity Type | Individual
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Provider Name | SAM SAWAYA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2008
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 6003 BON TERRA DR
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City | AUSTIN
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State | TX
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Zip | 78731-3803
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Country | US
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Telephone | 512-981-8051
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Fax | 888-616-1651
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Provider Business Mailing Address
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Address Line | 6003 BON TERRA DR
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City | AUSTIN
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State | TX
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Zip | 78731-3803
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Country | US
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Telephone | 512-981-8051
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Fax | 888-616-1651
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 136829
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N2780
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License Number State | TX
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