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General NPI Number Information
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NPI Number | 1356987374
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Entity Type | Organization
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Legal Business Name | SAWYER SCOTT EYECARE CENTER PLLC
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Dates
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Enumeration Date | 11/25/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 305 W MAIN ST
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City | SENATOBIA
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State | MS
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Zip | 38668-2146
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Country | US
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Telephone | 662-562-6446
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Fax | 662-562-6155
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Provider Business Mailing Address
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Address Line | PO BOX 664
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City | SENATOBIA
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State | MS
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Zip | 38668-0664
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Country | US
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Telephone | 662-562-6446
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Fax | 662-562-6155
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Authorized Official
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Title or Position | OWNER
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Name | SALLYE S. SCOTT
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Credential |
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Telephone | 662-487-1316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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