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General NPI Number Information
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NPI Number | 1326516618
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Entity Type | Individual
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Provider Name | SAMANTHA ANN SAWYER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 115B PORTER DR
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City | MIDDLEBURY
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State | VT
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Zip | 05753-8423
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Country | US
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Telephone | 802-388-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 839 ROBERT YOUNG RD
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City | STARKSBORO
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State | VT
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Zip | 05487-7152
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 3818
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License Number State | VT
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 3818
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License Number State | VT
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