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General NPI Number Information
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NPI Number | 1679717433
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Entity Type | Individual
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Provider Name | MICHAEL STEVEN SAWVEL D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 05/21/2015
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Provider Practice Location Address
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Address Line | 1030 S JEFFERSON ST SUITE 106
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City | ROANOKE
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State | VA
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Zip | 24016-4418
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Country | US
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Telephone | 419-270-3196
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Fax |
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Provider Business Mailing Address
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Address Line | 1030 S JEFFERSON ST SUITE 106
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City | ROANOKE
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State | VA
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Zip | 24016-4418
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Country | US
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Telephone | 419-270-3196
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 0116021798
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License Number State | VA
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