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General NPI Number Information
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NPI Number | 1558499434
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Entity Type | Individual
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Provider Name | PHILLIP TIMOTHY SEAMANS PA
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Gender | Male
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 E 7TH AVE
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City | CHADBOURN
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State | NC
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Zip | 28431-1402
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Country | US
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Telephone | 910-654-3143
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Fax | 910-654-4144
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Provider Business Mailing Address
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Address Line | 1272 BILL HOOKS RD
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City | WHITEVILLE
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State | NC
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Zip | 28472-9065
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Country | US
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Telephone | 910-654-3143
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Fax | 910-654-4144
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 100857
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License Number State | NC
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