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General NPI Number Information
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NPI Number | 1134119019
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Entity Type | Individual
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Provider Name | BURDETTE K SLEIGHT MD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 534 BILTMORE AVE
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City | ASHEVILLE
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State | NC
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Zip | 28801-4612
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Country | US
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Telephone | 828-213-0594
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Fax | 828-213-0590
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Provider Business Mailing Address
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Address Line | PO BOX 1987
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-1987
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Country | US
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Telephone | 828-213-0594
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Fax | 828-213-0590
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 37383
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2007-01030
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License Number State | NC
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