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General NPI Number Information
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NPI Number | 1265938393
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Entity Type | Individual
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Provider Name | SHAUNTEL SEATON MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 2822 E 83RD ST
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City | CHICAGO
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State | IL
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Zip | 60617-2105
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Country | US
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Telephone | 773-721-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 2822 E 83RD ST
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City | CHICAGO
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State | IL
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Zip | 60617-2105
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Country | US
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Telephone | 312-882-0944
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036161165
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License Number State | IL
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