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NPI 1194949057

NPI 1194949057 : JOHN WILLIAM SAWYER DDS : SAN FRANCISCO, CA

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General NPI Number Information
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    NPI Number           |    1194949057
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN WILLIAM SAWYER DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    375 CASTRO ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114
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    Country              |    US
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    Telephone            |    415-626-4124
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    Fax                  |    415-626-0108
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Provider Business Mailing Address
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    Address Line         |    375 CASTRO ST 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94114
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    Country              |    US
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    Telephone            |    415-454-5411
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    Fax                  |    415-626-0108
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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       |    21506
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    License Number State |    CA
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