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General NPI Number Information
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NPI Number | 1730193731
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Entity Type | Individual
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Provider Name | CHARLES B SAYRE D.C., NP-C
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 135 E RICH BLVD
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-5518
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Country | US
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Telephone | 252-333-1277
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Fax | 252-333-1877
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Provider Business Mailing Address
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Address Line | 135 E RICH BLVD
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-5518
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Country | US
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Telephone | 828-286-3472
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Fax | 252-333-1877
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1955
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2677
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5013429
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License Number State | NC
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