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General NPI Number Information
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NPI Number | 1225061377
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Entity Type | Individual
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Provider Name | SARAH JANE PAIKOWSKY OD
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 12801 W BELL RD SUITE 12
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City | SURPRISE
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State | AZ
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Zip | 85374-9797
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Country | US
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Telephone | 623-583-0377
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Fax | 623-583-0378
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Provider Business Mailing Address
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Address Line | 5514 E ALAN LN
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City | PARADISE VALLEY
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State | AZ
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Zip | 85253-1162
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Country | US
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Telephone | 480-570-9078
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Fax | 480-315-3791
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 00980
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License Number State | AZ
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