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General NPI Number Information
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NPI Number | 1689550667
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Entity Type | Individual
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Provider Name | SHIANN FAYE SAWYER OPTICIAN
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 4238 RECREATION DR
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2235
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Country | US
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Telephone | 585-393-0510
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Fax | 585-393-1974
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Provider Business Mailing Address
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Address Line | 1977 VAN AUKEN RD
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City | NEWARK
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State | NY
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Zip | 14513-9220
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Country | US
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Telephone | 315-571-4549
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 010645-01
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License Number State | NY
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