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General NPI Number Information
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NPI Number | 1568775682
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Entity Type | Individual
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Provider Name | TYISHA LYNN SEYMOUR M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2010
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3831 HUGHES AVE STE 601
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City | CULVER CITY
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State | CA
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Zip | 90232-6844
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Country | US
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Telephone | 310-838-4048
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Fax | 310-425-8091
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Provider Business Mailing Address
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Address Line | 3653 S SEPULVEDA BLVD APT 3
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City | LOS ANGELES
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State | CA
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Zip | 90034-6819
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A120623
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License Number State | CA
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