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General NPI Number Information
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NPI Number | 1235420886
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Entity Type | Individual
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Provider Name | RAJENDRA FERNANDO SAWH-MARTINEZ M.D., M.H.S.
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Gender | Male
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Dates
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Enumeration Date | 04/29/2011
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 2629 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-4459
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Country | US
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Telephone | 407-632-1010
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Fax | 407-777-4508
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Provider Business Mailing Address
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Address Line | 2629 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-4459
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Country | US
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Telephone | 773-818-1544
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Fax | 407-777-4508
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 55765
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME136100
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License Number State | FL
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