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General NPI Number Information
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NPI Number | 1366225989
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Entity Type | Individual
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Provider Name | PAULINE S SAWYERS PHD
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Gender | Female
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 4120 THORNTON TAYLOR PKWY STE G
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-2292
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Country | US
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Telephone | 256-277-1797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 363
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City | HARVEST
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State | AL
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Zip | 35749-0363
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Country | US
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Telephone | 256-277-1797
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P2354
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License Number State | TN
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