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General NPI Number Information
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NPI Number | 1487753182
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Entity Type | Organization
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Legal Business Name | SESSOMS MEDICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 500 BEAMAN STREET
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City | CLINTON
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State | NC
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Zip | 28328
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Country | US
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Telephone | 910-596-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 500 BEAMAN ST
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City | CLINTON
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State | NC
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Zip | 28328-2602
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Country | US
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Telephone | 910-290-5000
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Fax |
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Authorized Official
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Title or Position | SEC
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Name | DR. RODNEY KEVIN SESSOMS
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Credential | M.D.
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Telephone | 910-596-2800
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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 | 33927
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License Number State | NC
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