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General NPI Number Information
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NPI Number | 1487793303
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Entity Type | Organization
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Legal Business Name | LYDON & SAWCZAK MD PA
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 03/14/2011
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Provider Practice Location Address
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Address Line | 2050 NE DIXIE HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-6441
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Country | US
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Telephone | 772-334-2444
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Fax | 772-334-4122
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Provider Business Mailing Address
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Address Line | 2050 NE DIXIE HWY
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City | JENSEN BEACH
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State | FL
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Zip | 34957-6441
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Country | US
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Telephone | 772-334-2444
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Fax | 772-334-4122
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Authorized Official
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Title or Position | OWNER
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Name | TONI A SAWCZAK
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Credential | M.D.
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Telephone | 772-334-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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