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General NPI Number Information
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NPI Number | 1467615393
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Entity Type | Individual
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Provider Name | ALTHEIA BASS-SELDON DNP, NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 151 S HOUSTON LAKE RD SUITE 110
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City | WARNER ROBINS
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State | GA
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Zip | 31088-6399
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Country | US
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Telephone | 478-333-3026
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Fax | 478-333-6729
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Provider Business Mailing Address
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Address Line | 556 3RD ST SUITE B
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City | MACON
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State | GA
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Zip | 31201-7934
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Country | US
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Telephone | 478-743-2472
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Fax | 478-743-1516
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN142278
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License Number State | GA
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