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General NPI Number Information
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NPI Number | 1154427342
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Entity Type | Individual
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Provider Name | SESHA K SATALURI MD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 1078 LUMPKIN CAMPGROUND RD S STE 100
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City | DAWSONVILLE
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State | GA
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Zip | 30534-0988
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Country | US
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Telephone | 770-709-6922
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Fax | 770-709-6910
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Provider Business Mailing Address
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Address Line | 11555 MEDLOCK BRIDGE RD STE 190
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City | JOHNS CREEK
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State | GA
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Zip | 30097-1541
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Country | US
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Telephone | 707-096-9227
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Fax | 770-709-6922
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 98240
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License Number State | GA
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