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NPI 1356323141

NPI 1356323141 : EARL LOUIS SAUGET D.D.S, M.S.D. : TAMUNING, GU

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General NPI Number Information
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    NPI Number           |    1356323141
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    Entity Type          |    Individual 
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    Provider Name        |    EARL LOUIS SAUGET D.D.S, M.S.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/17/2005
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    Last Update Date     |    09/02/2009
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Provider Practice Location Address
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    Address Line         |    1406 N MARINE CORPS DR SUITE 200
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    City                 |    TAMUNING
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    State                |    GU
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    Zip                  |    96913-4311
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    Country              |    US
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    Telephone            |    671-646-7846
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    Fax                  |    671-646-8472
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Provider Business Mailing Address
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    Address Line         |    1406 N MARINE CORPS DR SUITE 200
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    City                 |    TAMUNING
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    State                |    GU
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    Zip                  |    96913-4311
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    Country              |    US
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    Telephone            |    671-646-7846
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    Fax                  |    671-646-8472
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    D917
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    License Number State |    GU
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