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General NPI Number Information
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NPI Number | 1891308680
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Entity Type | Individual
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Provider Name | MICHAEL CHARLES SEAY NP-C
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Gender | Male
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 04/25/2021
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Provider Practice Location Address
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Address Line | 9234 N LOOP 1604 W STE 107
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City | SAN ANTONIO
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State | TX
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Zip | 78249-2981
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Country | US
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Telephone | 720-810-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 3150 PAT BOOKER RD STE 100
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-2726
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Country | US
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Telephone | 210-817-6020
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1007982
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License Number State | TX
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