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General NPI Number Information
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NPI Number | 1265093587
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Entity Type | Individual
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Provider Name | MARK C SAUERWALD DO
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Gender | Male
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 901 N PORTER AVE
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City | NORMAN
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State | OK
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Zip | 73071-6404
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Country | US
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Telephone | 405-250-8416
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Fax | 405-307-2135
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Provider Business Mailing Address
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Address Line | 265 BROOKVIEW CENTRE WAY STE 203
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City | KNOXVILLE
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State | TN
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Zip | 37919-4053
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Country | US
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Telephone | 865-500-1267
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7081
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License Number State | OK
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