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General NPI Number Information
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NPI Number | 1255802575
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Entity Type | Individual
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Provider Name | SETH ALEXANDER MUENCH PTA
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Gender | Male
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 12/16/2018
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Provider Practice Location Address
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Address Line | 4500 MONTEVALLO RD STE B108
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City | IRONDALE
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State | AL
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Zip | 35210-3128
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Country | US
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Telephone | 205-957-0870
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Fax | 205-957-0872
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Provider Business Mailing Address
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Address Line | 6397 LEE HWY STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4915
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Country | US
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Telephone | 423-238-7217
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Fax | 423-238-3473
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA8683
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License Number State | AL
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