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General NPI Number Information
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NPI Number | 1982701835
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Entity Type | Organization
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Legal Business Name | SEGUIN FAMILY MEDICINE PA
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 515 N KING ST STE 103
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City | SEGUIN
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State | TX
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Zip | 78155
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Country | US
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Telephone | 830-372-5200
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Fax | 830-372-5202
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Provider Business Mailing Address
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Address Line | 515 N KING ST STE 103
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City | SEGUIN
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State | TX
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Zip | 78155-4815
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Country | US
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Telephone | 830-372-5200
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Fax | 830-372-5202
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Authorized Official
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Title or Position | CEO
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Name | DR. NICOLE JANICE TALBOT
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Credential | D.O.
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Telephone | 830-372-5200
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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 |
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License Number State |
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