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General NPI Number Information
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NPI Number | 1932309705
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Entity Type | Individual
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Provider Name | DAVID EDWARD SEALS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 546 WINTER ST STE 100
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City | WOOSTER
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State | OH
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Zip | 44691-2300
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Country | US
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Telephone | 330-634-7195
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Fax |
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Provider Business Mailing Address
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Address Line | 546 WINTER ST STE 100
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City | WOOSTER
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State | OH
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Zip | 44691-2339
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Country | US
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Telephone | 330-634-7195
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 212223
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 89139
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License Number State | OH
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