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General NPI Number Information
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NPI Number | 1154593689
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Entity Type | Individual
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Provider Name | SEAN LALL SAWH MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 07/06/2017
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Provider Practice Location Address
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Address Line | 3347 STATE ROAD 7 SUITE 101
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City | WELLINGTON
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State | FL
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Zip | 33449-8095
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Country | US
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Telephone | 561-790-2111
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Fax | 561-790-0893
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Provider Business Mailing Address
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Address Line | 2160 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT.
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City | FORT MYERS
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State | FL
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Zip | 33907-1410
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME117550
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License Number State | FL
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