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General NPI Number Information
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NPI Number | 1528159480
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Entity Type | Individual
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Provider Name | TERESA LYNN SEAY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 1351 SOUTH BLVD
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City | CHIPLEY
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State | FL
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Zip | 32428
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Country | US
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Telephone | 850-638-1230
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Fax | 850-638-9766
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Provider Business Mailing Address
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Address Line | P. O. BOX 947
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City | CHIPLEY
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State | FL
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Zip | 32428
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Country | US
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Telephone | 850-638-1230
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Fax | 850-638-9766
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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 | ARNP9236416
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License Number State | FL
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