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NPI 1174882716

NPI 1174882716 : KATHRYN MARIE SAYRE RD : DURHAM, NC

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General NPI Number Information
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    NPI Number           |    1174882716
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN MARIE SAYRE RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2012
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    5003 SOUTHPARK DR STE 100 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-9414
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    Country              |    US
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    Telephone            |    973-224-7575
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    125 S GRAHAM ST 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27516-2325
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    Country              |    US
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    Telephone            |    973-224-7575
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    Fax                  |    919-373-2942
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    L003956
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    License Number State |    NC
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