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General NPI Number Information
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NPI Number | 1336196203
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Entity Type | Individual
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Provider Name | DR. SCOTT LEE SAILER
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Gender | Male
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 300 ASHVILLE AVE SUITE 110
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City | CARY
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State | NC
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Zip | 27518-8682
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Country | US
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Telephone | 919-854-4588
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Fax | 919-854-9950
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Provider Business Mailing Address
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Address Line | PO BOX 60106
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City | CHARLOTTE
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State | NC
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Zip | 28260-0106
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Country | US
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Telephone | 919-854-4588
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Fax | 919-854-9950
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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 | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | 32848
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License Number State | NC
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