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General NPI Number Information
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NPI Number | 1447710025
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Entity Type | Individual
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Provider Name | TYSON SCOTT SESSIONS DO
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Gender | Male
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 3551 E OVERLAND RD
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City | MERIDIAN
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State | ID
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Zip | 83642-6757
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Country | US
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Telephone | 208-884-1333
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Fax | 208-489-4015
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Provider Business Mailing Address
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Address Line | 2001 W 86TH ST 3 NORTH
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1991
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Country | US
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Telephone | 317-338-6089
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Fax | 317-338-2851
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | O-1928
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License Number State | ID
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