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General NPI Number Information
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NPI Number | 1538875406
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Entity Type | Individual
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Provider Name | ALEXA LEA SEEFELD DPT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 600 N ROBBINS RD
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City | BOISE
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State | ID
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Zip | 83702-4565
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Country | US
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Telephone | 208-489-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 3936 N PATRICIA LN
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City | BOISE
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State | ID
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Zip | 83704-4237
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Country | US
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Telephone | 509-990-2732
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8459
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License Number State | ID
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