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General NPI Number Information
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NPI Number | 1760214126
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Entity Type | Individual
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Provider Name | SAWYER LEE PENNER
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Gender | Female
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 210-218-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 WINDMILL PALM
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City | SAN ANTONIO
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State | TX
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Zip | 78216-8005
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Country | US
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Telephone | 210-218-6117
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS66438
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License Number State | FL
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