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General NPI Number Information
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NPI Number | 1437698842
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Entity Type | Organization
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Legal Business Name | S THOMAS SEHY DPM LLC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 03/13/2017
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Provider Practice Location Address
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Address Line | 209 CROSSROADS PL SUITE 130
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City | MOUNT VERNON
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State | IL
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Zip | 62864-6545
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Country | US
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Telephone | 314-241-9411
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Fax | 618-241-9414
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Provider Business Mailing Address
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Address Line | 10430 PAGE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63132-1228
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Country | US
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Telephone | 314-423-8811
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Fax | 314-423-8824
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Authorized Official
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Title or Position | OWNER/ PODIATRIST
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Name | DR. STEPHEN THOMAS SEHY
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Credential | DPM
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Telephone | 314-423-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016005192
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License Number State | IL
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