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General NPI Number Information
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NPI Number | 1649244823
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Entity Type | Individual
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Provider Name | SIDNEY EUGENE KIRKLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 518 SIXTH AVENUE WEST
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City | HENDERSONVILLE
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State | NC
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Zip | 28739
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Country | US
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Telephone | 828-697-7805
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Fax | 828-697-0148
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Provider Business Mailing Address
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Address Line | PO BOX 1869
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City | FLETCHER
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State | NC
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Zip | 28732-1869
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Country | US
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Telephone | 828-687-6282
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Fax | 828-687-6285
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21060
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License Number State | NC
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