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General NPI Number Information
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NPI Number | 1164051504
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Entity Type | Organization
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Legal Business Name | ATLAS NATURAL MEDICINE PLLC
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Dates
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Enumeration Date | 04/07/2020
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1426 N MAIN ST STE 106
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City | TAYLOR
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State | TX
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Zip | 76574-3031
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Country | US
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Telephone | 512-352-1300
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Fax | 512-352-1301
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Provider Business Mailing Address
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Address Line | 1426 N MAIN ST STE 106
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City | TAYLOR
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State | TX
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Zip | 76574-3031
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Country | US
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Telephone | 512-352-1300
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Fax | 512-352-1301
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Authorized Official
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Title or Position | OWNER/ EXECUTIVE DIRECTOR
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Name | DR. SEAN P SEIVERT
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Credential | D.C.
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Telephone | 512-626-0588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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