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General NPI Number Information
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NPI Number | 1578524955
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Entity Type | Individual
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Provider Name | MICHAEL F. SEDLAK M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 876 LOOP 337 #302
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-625-8088
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Fax | 830-629-9215
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Provider Business Mailing Address
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Address Line | 876 LOOP 337 #302
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-625-8088
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Fax | 830-629-9215
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD-055513-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | M7608
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License Number State | TX
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