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General NPI Number Information
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NPI Number | 1508064106
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Entity Type | Organization
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Legal Business Name | SETON MEDICAL GROUP
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3201 S WATER ST
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City | BURNET
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State | TX
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Zip | 78611-4510
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Country | US
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Telephone | 512-715-3000
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Fax | 512-756-6405
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Provider Business Mailing Address
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Address Line | PO BOX 1219
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City | BURNET
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State | TX
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Zip | 78611-7219
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Country | US
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Telephone | 512-715-3000
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Fax | 512-756-6405
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Authorized Official
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Title or Position | DIRECTOR OF CLINIC SERVICES
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Name | MRS. DENISE WATSON
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Credential | RN
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Telephone | 512-715-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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