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General NPI Number Information
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NPI Number | 1083586135
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Entity Type | Individual
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Provider Name | TRAVIS JAY SEITER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3336 E CHANDLER HEIGHTS RD STE 113
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City | GILBERT
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State | AZ
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Zip | 85298-4263
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Country | US
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Telephone | 480-440-8666
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Fax | 480-440-8666
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Provider Business Mailing Address
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Address Line | 3642 E MEADOW CREEK WAY
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City | SAN TAN VALLEY
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State | AZ
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Zip | 85140-5340
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Country | US
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Telephone | 602-617-3057
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 328573
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License Number State | AZ
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