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General NPI Number Information
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NPI Number | 1922070077
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Entity Type | Individual
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Provider Name | MICHAEL SEIN DO
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Gender | Male
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Dates
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Enumeration Date | 02/03/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 JOHNSON ST SE
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City | DAWSON
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State | GA
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Zip | 39842-1523
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Country | US
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Telephone | 229-995-2990
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Fax | 229-995-2993
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Provider Business Mailing Address
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Address Line | 204 N WESTOVER BLVD
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City | ALBANY
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State | GA
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Zip | 31707-2983
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Country | US
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Telephone | 229-888-6559
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Fax | 229-436-4107
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 047151
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License Number State | GA
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