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General NPI Number Information
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NPI Number | 1417283284
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Entity Type | Individual
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Provider Name | KATHERINE BETH SEILUS ATC, CES
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Gender | Female
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Dates
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Enumeration Date | 10/28/2009
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Last Update Date | 10/28/2009
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Provider Practice Location Address
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Address Line | 1000 HILLTOP CIR
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City | BALTIMORE
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State | MD
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Zip | 21250-0001
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Country | US
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Telephone | 410-455-1664
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Fax | 410-455-1191
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Provider Business Mailing Address
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Address Line | 9094 TOWN AND COUNTRY BLVD APT. B
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-3227
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Country | US
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Telephone | 732-754-7279
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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