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General NPI Number Information
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NPI Number | 1861207664
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Entity Type | Individual
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Provider Name | KEVIN ANTONY SAWCHUK MD
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Gender | Male
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 3865 JACKSON ST
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-688-2211
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Fax | 951-898-0821
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Provider Business Mailing Address
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Address Line | 341 HIDDEN PINES RD
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City | DEL MAR
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State | CA
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Zip | 92014
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Country | US
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Telephone | 672-965-0112
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 184642
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License Number State | CA
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