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NPI 1437566635

NPI 1437566635 : DAVID SERAMUR DPT : KENAI, AK

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General NPI Number Information
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    NPI Number           |    1437566635
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID SERAMUR DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/20/2014
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    Last Update Date     |    03/06/2025
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Provider Practice Location Address
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    Address Line         |    508 UPLAND ST 
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    City                 |    KENAI
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    State                |    AK
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    Zip                  |    99611-8026
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    Country              |    US
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    Telephone            |    907-335-7500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    635 SANDPIPER LN 
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    City                 |    KENAI
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    State                |    AK
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    Zip                  |    99611-8507
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    Country              |    US
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    Telephone            |    248-505-7564
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    139685
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    License Number State |    AK
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