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General NPI Number Information
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NPI Number | 1972699163
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Entity Type | Individual
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Provider Name | MARK SAUERWEIN MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 630 N ARROWLEAF TRL
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City | SISTERS
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State | OR
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Zip | 97759
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Country | US
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Telephone | 541-549-1318
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 NE NEFF RD
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City | BEND
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State | OR
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Zip | 97701-6015
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Country | US
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Telephone | 541-382-4321
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00023742
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License Number State | WA
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