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General NPI Number Information
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NPI Number | 1225373855
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Entity Type | Individual
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Provider Name | KERRY J SAUER DDS
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Gender | Female
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Dates
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Enumeration Date | 12/08/2012
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 16 VAN COTT RD SUITE 1W
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City | DEER PARK
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State | NY
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Zip | 11729-6519
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Country | US
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Telephone | 631-242-5329
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Fax | 631-254-1967
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Provider Business Mailing Address
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Address Line | 16 VAN COTT RD SUITE 1W
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City | DEER PARK
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State | NY
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Zip | 11729-6519
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Country | US
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Telephone | 631-242-5329
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Fax | 631-254-1967
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 049787-1
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License Number State | NY
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