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General NPI Number Information
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NPI Number | 1215134440
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Entity Type | Individual
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Provider Name | MICHAEL SEYMOUR PA
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Gender | Male
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | PRB 9, SPINE ROAD DROP POINT 51
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City | PRUDHOE BAY
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State | AK
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Zip | 99734
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Country | US
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Telephone | 907-659-5239
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 FALLS LOOP
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-4513
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Country | US
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Telephone | 406-755-0811
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 382
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1814
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License Number State | AK
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