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General NPI Number Information
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NPI Number | 1053522599
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Entity Type | Organization
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Legal Business Name | GREGORY SAWYER DDS A PC
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2034 E MAIN ST
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City | QUINCY
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State | CA
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Zip | 95971
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Country | US
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Telephone | 530-283-2811
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Fax | 530-283-9142
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Provider Business Mailing Address
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Address Line | 2034 E MAIN ST
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City | QUINCY
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State | CA
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Zip | 95971
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Country | US
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Telephone | 530-283-2811
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Fax | 530-283-9142
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Authorized Official
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Title or Position | DENTIST PRESIDENT OF CORP
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Name | DR. GREGORY L SAWYER
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Credential | DDS
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Telephone | 530-283-2811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 28084
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License Number State | CA
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