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General NPI Number Information
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NPI Number | 1023594918
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Entity Type | Individual
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Provider Name | JASON SCOTT SEATON M.ED., LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 07/14/2018
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Last Update Date | 07/14/2018
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Provider Practice Location Address
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Address Line | 732 BOYDS CREEK HWY
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City | SEYMOUR
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State | TN
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Zip | 37865-5101
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Country | US
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Telephone | 865-256-4157
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Fax |
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Provider Business Mailing Address
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Address Line | 742 MIDDLE CREEK RD
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5019
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Country | US
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Telephone | 865-256-4157
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1725
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License Number State | TN
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