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General NPI Number Information
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NPI Number | 1073054284
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Entity Type | Individual
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Provider Name | DR. SETH A GRANT
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Gender | Male
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 14100 58TH ST N
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City | CLEARWATER
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State | FL
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Zip | 33760-9900
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Country | US
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Telephone | 727-824-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 13896 83RD PL
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City | SEMINOLE
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State | FL
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Zip | 33776-2931
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Country | US
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Telephone | 207-712-5926
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT25735
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License Number State | FL
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