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General NPI Number Information
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NPI Number | 1427976356
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Entity Type | Organization
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Legal Business Name | SEYMOUR TREATMENT CENTER LLC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 357 TANGER BLVD
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City | SEYMOUR
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State | IN
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Zip | 47274-4401
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Country | US
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Telephone | 812-778-2765
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Fax | 812-522-0291
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Provider Business Mailing Address
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Address Line | 357 TANGER BLVD
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City | SEYMOUR
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State | IN
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Zip | 47274-4401
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Country | US
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Telephone | 812-778-2765
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Fax | 812-522-0291
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Authorized Official
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Title or Position | COUNSELOR 2
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Name | MRS. JAMIE E DOSS
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Credential | ACIT LL, MATS
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Telephone | 812-558-9016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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