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General NPI Number Information
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NPI Number | 1184102584
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Entity Type | Individual
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Provider Name | GREGORY SCOTT SEESE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 11/24/2022
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Provider Practice Location Address
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Address Line | 71 STARBOARD TACK
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City | SANFORD
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State | NC
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Zip | 27332-9690
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Country | US
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Telephone | 740-310-0678
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Fax |
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Provider Business Mailing Address
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Address Line | 71 STARBOARD TACK
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City | SANFORD
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State | NC
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Zip | 27332-9690
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Country | US
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Telephone | 740-310-0678
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS1177
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1048709
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | Y5R120200127
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License Number State | WV
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