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General NPI Number Information
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NPI Number | 1720573264
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Entity Type | Organization
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Legal Business Name | SCOTT M. SAKOWITZ, D.M.D., M.S., P.A.
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 10/23/2018
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Provider Practice Location Address
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Address Line | 9161 NARCOOSSEE RD STE 105B
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City | ORLANDO
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State | FL
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Zip | 32827
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Country | US
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Telephone | 407-627-1187
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Fax |
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Provider Business Mailing Address
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Address Line | 9161 NARCOOSSEE RD STE 105B
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City | ORLANDO
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State | FL
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Zip | 32827-5764
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Country | US
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Telephone | 407-627-1187
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT SAKOWITZ
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Credential | DMD, MS
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Telephone | 407-627-1187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN23103
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License Number State | FL
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