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General NPI Number Information
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NPI Number | 1245523679
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Entity Type | Individual
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Provider Name | SCOTT M SACHS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 300 E LITTLE CREEK RD
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City | NORFOLK
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State | VA
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Zip | 23505-2603
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Country | US
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Telephone | 757-962-6769
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Fax | 757-410-2658
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Provider Business Mailing Address
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Address Line | 210 MEADOW VIEW BLVD
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City | SUFFOLK
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State | VA
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Zip | 23435-3495
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Country | US
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Telephone | 757-673-6263
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Fax |
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401412640
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License Number State | VA
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