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General NPI Number Information
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NPI Number | 1376559484
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Entity Type | Individual
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Provider Name | MICHAEL EVAN SEBERT M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/02/2014
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Provider Practice Location Address
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Address Line | 5323 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75390-7201
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Country | US
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Telephone | 214-456-6500
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Fax | 214-648-2961
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Provider Business Mailing Address
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Address Line | PO BOX 845347
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City | DALLAS
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State | TX
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Zip | 75284-5347
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Country | US
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Telephone | 214-456-6500
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Fax | 214-648-2961
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD062446L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | MD062446L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2080P0208X
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Taxonomy Name | Pediatric Infectious Diseases Physician
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License Number | P8536
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License Number State | TX
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