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General NPI Number Information
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NPI Number | 1093062093
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Entity Type | Individual
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Provider Name | RICHARD ELIE SAWAYA D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 08/08/2012
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 7224 MITSCHER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92145-0140
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Country | US
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Telephone | 858-307-1825
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Fax |
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Provider Business Mailing Address
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Address Line | 9203 INVERNESS RD
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City | SANTEE
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State | CA
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Zip | 92071-2262
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 100149
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License Number State | CA
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