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General NPI Number Information
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NPI Number | 1508757311
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Entity Type | Organization
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Legal Business Name | SEASIDE WELLNESS
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 29060 FRENCHMAN BAY DR
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City | LEWES
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State | DE
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Zip | 19958-5492
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Country | US
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Telephone | 610-457-3526
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Fax |
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Provider Business Mailing Address
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Address Line | 29060 FRENCHMAN BAY DR
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City | LEWES
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State | DE
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Zip | 19958-5492
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Country | US
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Telephone | 610-457-3526
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. ALI MOHAMMED
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Credential | DO
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Telephone | 610-457-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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