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General NPI Number Information
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NPI Number | 1730290271
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Entity Type | Individual
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Provider Name | ROGER LEE SEAGLE SR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 224 SHARON AVE NW
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City | LENOIR
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State | NC
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Zip | 28645
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Country | US
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Telephone | 828-572-0778
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14667
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City | SAVANNAH
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State | GA
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Zip | 31416-1667
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Country | US
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Telephone | 828-205-1444
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 24512
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License Number State | NC
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