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General NPI Number Information
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NPI Number | 1750560165
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Entity Type | Individual
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Provider Name | DAVID T SAYLE MLP
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Gender | Male
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Dates
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Enumeration Date | 11/01/2007
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 800 COVE PARKWAY
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City | COTTONWOOD
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State | AZ
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Zip | 86326
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Country | US
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Telephone | 928-649-3003
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Fax | 928-649-3030
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Provider Business Mailing Address
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Address Line | 800 COVE PARKWAY
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City | COTTONWOOD
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State | AZ
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Zip | 86326
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Country | US
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Telephone | 928-649-3003
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Fax | 928-649-3030
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN134260
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License Number State | AZ
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