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General NPI Number Information
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NPI Number | 1760494496
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Entity Type | Individual
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Provider Name | CYRIL T SEBASTIAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 111 VISION PARK BLVD STE 260
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City | SHENANDOAH
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State | TX
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Zip | 77384
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Country | US
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Telephone | 281-719-9681
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Fax | 281-791-0059
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Provider Business Mailing Address
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Address Line | PO BOX 130070
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City | SPRING
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State | TX
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Zip | 77393-0070
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Country | US
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Telephone | 281-719-9681
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Fax | 281-791-0059
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | ME96604
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A90741
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | N6643
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License Number State | TX
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