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General NPI Number Information
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NPI Number | 1346482148
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Entity Type | Individual
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Provider Name | JEFFREY SEYMOUR DMD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 19790 WELLEN PARK BLVD STE 202
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City | VENICE
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State | FL
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Zip | 34293-2296
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Country | US
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Telephone | 941-451-7005
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Fax |
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Provider Business Mailing Address
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Address Line | 2308 W MORRISON AVE
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City | TAMPA
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State | FL
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Zip | 33629-4727
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Country | US
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Telephone | 813-624-9699
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 13382
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License Number State | FL
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