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General NPI Number Information
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NPI Number | 1265718993
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Entity Type | Individual
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Provider Name | RALPH ANDREW SEYMOURE PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1324 N SHERIDAN RD
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City | WAUKEGAN
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State | IL
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Zip | 60085-2161
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Country | US
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Telephone | 847-360-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 N SHERIDAN RD
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City | WAUKEGAN
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State | IL
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Zip | 60085-2161
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Country | US
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Telephone | 847-360-3000
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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 | 085004208
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License Number State | IL
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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 | 771523
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7715-23
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License Number State | WI
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