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General NPI Number Information
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NPI Number | 1205064888
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Entity Type | Organization
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Legal Business Name | SEALE WOMEN'S CARE, LLC
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 1800 12TH ST STE 4A
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City | MERIDIAN
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State | MS
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Zip | 39301-4158
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Country | US
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Telephone | 601-703-4920
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | MERIDIAN
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State | MS
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Zip | 39302-0808
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Country | US
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Telephone | 601-703-4920
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFFREY K SEALE
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Credential | M.D.
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Telephone | 601-703-9617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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