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General NPI Number Information
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NPI Number | 1417148859
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Entity Type | Individual
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Provider Name | LEIGH ALEXANDER SAWYER L. AC.
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Gender | Female
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 210 SOUTH ST
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City | CARROLLTON
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State | GA
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Zip | 30117-3738
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Country | US
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Telephone | 770-317-5003
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Fax |
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Provider Business Mailing Address
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Address Line | 417 YARBROUGH RD
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City | FRANKLIN
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State | GA
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Zip | 30217-3521
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Country | US
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Telephone | 415-516-5028
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC 11641
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License Number State | CA
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