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General NPI Number Information
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NPI Number | 1508196700
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Entity Type | Individual
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Provider Name | SAYE GORGOR
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Gender | Male
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 01/11/2010
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Provider Practice Location Address
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Address Line | 9465 HIGHWAY 5
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-1509
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Country | US
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Telephone | 866-825-3227
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Fax | 866-397-7399
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Provider Business Mailing Address
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Address Line | 4165 30TH AVE S STE 101
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City | FARGO
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State | ND
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Zip | 58104-8419
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Country | US
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Telephone | 866-825-3227
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Fax | 866-397-7399
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN105044
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License Number State | GA
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