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General NPI Number Information
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NPI Number | 1326043225
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Entity Type | Individual
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Provider Name | TRACY ANN SEEL PA
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 288 S PARADISE PARKWAY P.O. BOX 154
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City | GARDEN CITY
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State | UT
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Zip | 84028
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Country | US
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Telephone | 435-255-1630
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Fax | 435-946-9124
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Provider Business Mailing Address
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Address Line | 288 S PARADISE PARKWAY P.O. BOX 154
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City | GARDEN CITY
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State | UT
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Zip | 84028
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Country | US
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Telephone | 435-255-1630
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Fax | 435-946-9124
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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 | 4842080-1206
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License Number State | UT
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