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General NPI Number Information
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NPI Number | 1831516517
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Entity Type | Organization
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Legal Business Name | SAWYER EYE CENTER, PLLC
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 925 SANTA FE DR STE 105
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City | WEATHERFORD
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State | TX
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Zip | 76086-5867
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Country | US
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Telephone | 682-300-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 925 SANTA FE DR STE 105
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City | WEATHERFORD
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State | TX
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Zip | 76086-5867
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Country | US
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Telephone | 682-300-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CALEB RANDALL SAWYER
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Credential | M.D.
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Telephone | 682-300-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | M3727
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License Number State | TX
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