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General NPI Number Information
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NPI Number | 1376994889
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Entity Type | Individual
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Provider Name | DAWN-MARIE SEALY
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 555-26 AVE
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City | GARDEN CITY
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State | NY
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Zip | 11564
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Country | US
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Telephone | 123-457-6897
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Fax |
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Provider Business Mailing Address
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Address Line | 555-26 AVE
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City | GARDEN CITY
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State | NY
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Zip | 11564
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Country | US
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Telephone | 123-457-6897
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 00000000
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License Number State | NY
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