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General NPI Number Information
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NPI Number | 1407974769
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Entity Type | Organization
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Legal Business Name | WILLIAM SAWCHUK MD LTD
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 8320 OLD COURTHOUSE RD STE 303
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City | VIENNA
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State | VA
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Zip | 22182-3883
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Country | US
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Telephone | 703-532-7211
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Fax | 703-534-2874
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Provider Business Mailing Address
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Address Line | 8320 OLD COURTHOUSE RD STE 303
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City | VIENNA
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State | VA
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Zip | 22182-3883
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Country | US
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Telephone | 703-532-7211
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Fax | 703-534-2874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM SAMUEL SAWCHUK
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Credential | MD
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Telephone | 703-532-7211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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