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General NPI Number Information
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NPI Number | 1982907739
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Entity Type | Organization
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Legal Business Name | S.A.W. MEDICAL PC
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Dates
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Enumeration Date | 12/17/2010
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 135 WOODFIELD RD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2524
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Country | US
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Telephone | 516-385-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 135 WOODFIELD RD
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City | WEST HEMPSTEAD
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State | NY
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Zip | 11552-2524
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Country | US
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Telephone | 516-385-1525
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. STACEY WHITE
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Credential | DO
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Telephone | 516-385-1525
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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