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General NPI Number Information
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NPI Number | 1588600308
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Entity Type | Individual
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Provider Name | STEPHEN CAYELLI MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 10/06/2015
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Provider Practice Location Address
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Address Line | 331 ANTREVILLE HWY
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City | IVA
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State | SC
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Zip | 29655-9548
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Country | US
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Telephone | 864-348-6122
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Fax | 864-348-7892
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Provider Business Mailing Address
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Address Line | PO BOX 267
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City | IVA
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State | SC
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Zip | 29655-0267
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Country | US
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Telephone | 864-348-6122
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Fax | 864-348-7892
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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 | 20356
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License Number State | SC
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