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General NPI Number Information
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NPI Number | 1023654449
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Entity Type | Organization
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Legal Business Name | SEAWA ENTERPRISE LLC
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 1802 NORTH BELCHER ROAD SUITE 100
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City | CLEARWATER
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State | FL
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Zip | 33765
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Country | US
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Telephone | 239-201-7670
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Fax |
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Provider Business Mailing Address
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Address Line | 12221 TOWNE LAKE DR STE A160
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City | FORT MYERS
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State | FL
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Zip | 33913-8185
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Country | US
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Telephone | 239-201-7670
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARAH ALLEYNE
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Credential |
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Telephone | 239-201-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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