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General NPI Number Information
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NPI Number | 1205360492
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Entity Type | Individual
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Provider Name | JOHN M. SEELY MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 14 THOMAS POINT RD
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City | BRUNSWICK
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State | ME
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Zip | 04011-3911
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Country | US
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Telephone | 207-442-0325
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Fax |
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Provider Business Mailing Address
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Address Line | 14 THOMAS POINT RD
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City | BRUNSWICK
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State | ME
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Zip | 04011-3911
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Country | US
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Telephone | 207-442-0325
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 12233818-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD26139
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License Number State | ME
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