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General NPI Number Information
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NPI Number | 1801390851
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Entity Type | Individual
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Provider Name | YASMIN SEALEY FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/22/2018
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 261 BROOKWOOD AVE
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City | JACKSON
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State | GA
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Zip | 30233-1460
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Country | US
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Telephone | 678-752-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 736 W BANKHEAD HWY # 5637
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City | VILLA RICA
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State | GA
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Zip | 30180-1501
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Country | US
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Telephone | 770-459-8234
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 277046
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9238394
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License Number State | FL
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