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General NPI Number Information
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NPI Number | 1164455333
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Entity Type | Individual
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Provider Name | PHILIP SCOTT SEIBEL M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 301 HAWTHORNE LN STE 200
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City | CHARLOTTE
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State | NC
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Zip | 28204-2467
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Country | US
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Telephone | 704-316-5100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60447
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City | CHARLOTTE
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State | NC
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Zip | 28260-0447
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Country | US
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Telephone | 704-316-5100
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Fax | 704-316-5101
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2017-00517
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 37609
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 2017-00517
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License Number State | NC
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