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General NPI Number Information
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NPI Number | 1720370455
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Entity Type | Individual
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Provider Name | KELLY SAYLOR
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Gender | Female
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 10130 MALLARD CREEK RD SUITE 300
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City | CHARLOTTE
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State | NC
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Zip | 28262-6000
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Country | US
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Telephone | 704-944-5530
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 HOOVER AVE
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City | MT HOLLY
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State | NC
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Zip | 28120-1286
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Country | US
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Telephone | 704-718-1098
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A8252
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7027A
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License Number State | NC
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