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General NPI Number Information
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NPI Number | 1780933374
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Entity Type | Individual
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Provider Name | ROBERT EDWIN SAWYER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 1117 RANCH RD 1431 POB 1606
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City | KINGSLAND
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State | TX
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Zip | 78639-4055
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Country | US
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Telephone | 325-388-6021
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Fax | 325-388-9991
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Provider Business Mailing Address
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Address Line | 1117 RANCH RD 1431 BOX 1606
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City | KINGSLAND
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State | TX
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Zip | 78639
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Country | US
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Telephone | 325-388-6021
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Fax | 325-388-9991
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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 | 28332
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License Number State | TX
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