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General NPI Number Information
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NPI Number | 1326164252
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Entity Type | Organization
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Legal Business Name | SESHADRI & SESHADRI MDS PA
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 2841 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5172
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Country | US
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Telephone | 941-629-4949
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Fax | 941-629-2036
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Provider Business Mailing Address
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Address Line | 2841 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5172
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Country | US
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Telephone | 941-629-4949
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Fax | 941-629-2036
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBORAH JOY LUNDGREN
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Credential |
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Telephone | 941-629-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | FL
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