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General NPI Number Information
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NPI Number | 1487328662
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Entity Type | Individual
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Provider Name | IVONNA MAE SEATON NP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 7223 CHURCH ST # C-1
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City | HIGHLAND
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State | CA
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Zip | 92346-5869
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Country | US
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Telephone | 909-425-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 869 W ASTER ST
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City | UPLAND
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State | CA
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Zip | 91786-2226
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Country | US
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Telephone | 425-318-2761
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95170989
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95017587
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 60082679
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP61181964
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License Number State | WA
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