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General NPI Number Information
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NPI Number | 1295797264
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Entity Type | Individual
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Provider Name | KENT A SALLEE MD
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Gender | Male
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 4031 KENNETT PIKE
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City | WILMINGTON
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State | DE
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Zip | 19807-2047
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Country | US
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Telephone | 302-757-3342
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Fax | 610-444-6055
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Provider Business Mailing Address
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Address Line | 407 WREN LN
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-2662
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Country | US
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Telephone | 302-757-3342
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Fax | 610-444-6055
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C1-0001606
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License Number State | DE
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