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General NPI Number Information
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NPI Number | 1154548717
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Entity Type | Individual
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Provider Name | SARAH ANN SEELEY-DICK D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 391 FALLS DR NW
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City | ABINGDON
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State | VA
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Zip | 24210-8093
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Country | US
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Telephone | 276-739-2920
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Fax | 276-739-2921
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | KINGSPORT
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State | TN
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Zip | 37662-0009
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Country | US
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Telephone | 423-857-2066
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 2016
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License Number State | TN
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