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General NPI Number Information
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NPI Number | 1720178494
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Entity Type | Individual
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Provider Name | LESZEK SAWICKI D.D.S
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 2509 GARDENIA DR
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City | AUSTIN
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State | TX
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Zip | 78727-1312
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Country | US
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Telephone | 512-270-9773
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Fax |
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Provider Business Mailing Address
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Address Line | 5501 BALCONES DR #155A
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City | AUSTIN
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State | TX
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Zip | 78731-5041
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Country | US
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Telephone | 512-695-3746
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 18484
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License Number State | TX
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