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General NPI Number Information
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NPI Number | 1982834925
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Entity Type | Individual
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Provider Name | WILLIAM ERIC SACKHEIM DMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 4627 N DAVIS HWY BUILDING B
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City | PENSACOLA
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State | FL
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Zip | 32503-2364
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Country | US
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Telephone | 850-476-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 4627 NORTH DAVIS HWY BUILDING B
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City | PENSACOLA
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State | FL
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Zip | 32503
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Country | US
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Telephone | 850-377-8759
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 18697
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DD3395
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License Number State | NM
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