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General NPI Number Information
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NPI Number | 1124522024
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Entity Type | Individual
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Provider Name | JASON H SEYMOUR MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | VA OUTPATIENT CLINIC 6900 SOUTHPOINT DR N
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone | 904-470-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 145 HERON BAY RD
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City | JACKSONVILLE
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State | FL
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Zip | 32218-3595
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Country | US
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Telephone | 904-470-6900
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | T5203
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | ME171296
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 35.142251
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 04-51973
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 55382
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 336200
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License Number State | NY
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