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General NPI Number Information
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NPI Number | 1558416487
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Entity Type | Individual
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Provider Name | MICHELLE M SEAMAN M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 12295 E 1975TH AVE
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City | EFFINGHAM
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State | IL
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Zip | 62401-6832
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Country | US
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Telephone | 217-343-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 6244 N SHELL RD
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City | OLNEY
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State | IL
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Zip | 62450-4156
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22004476A
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License Number State | IN
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