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General NPI Number Information
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NPI Number | 1750530341
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Entity Type | Organization
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Legal Business Name | MICHAEL SESAY MD, LLC
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 05/03/2012
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Provider Practice Location Address
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Address Line | 217 E 7TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-5725
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Country | US
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Telephone | 256-237-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 217 E 7TH ST
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City | ANNISTON
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State | AL
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Zip | 36207-5725
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Country | US
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Telephone | 256-237-1535
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL M SESAY
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Credential | MD
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Telephone | 256-237-1535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 28353
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License Number State | AL
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