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General NPI Number Information
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NPI Number | 1699707398
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Entity Type | Individual
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Provider Name | DAVID C SALLEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 1265 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-3415
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Country | US
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Telephone | 901-516-7358
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Fax |
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Provider Business Mailing Address
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Address Line | 9871 GARDEN PL
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City | GERMANTOWN
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State | TN
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Zip | 38139-6934
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Country | US
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Telephone | 901-291-2400
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Fax |
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101239404
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 39295
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License Number State | TN
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