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General NPI Number Information
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NPI Number | 1346870052
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Entity Type | Organization
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Legal Business Name | SAWYER CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 551 LIMESTONE ST SW
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City | HARTSELLE
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State | AL
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Zip | 35640-2942
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Country | US
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Telephone | 256-773-9912
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Fax | 256-773-7560
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Provider Business Mailing Address
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Address Line | 2327 SHERROD AVE
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City | FLORENCE
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State | AL
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Zip | 35630-1236
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Country | US
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Telephone | 256-221-5456
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SIDNEY AARON SAWYER III
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Credential |
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Telephone | 256-221-5456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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