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General NPI Number Information
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NPI Number | 1588575542
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Entity Type | Organization
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Legal Business Name | SEASIDE PRIMARY CARE LLC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 13859 GATSBY DR
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City | FISHERS
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State | IN
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Zip | 46038-8406
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Country | US
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Telephone | 239-300-5976
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Fax |
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Provider Business Mailing Address
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Address Line | 13859 GATSBY DR
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City | FISHERS
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State | IN
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Zip | 46038-8406
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Country | US
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Telephone | 239-300-5976
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Fax |
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Authorized Official
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Title or Position | OWNER / FAMILY NURSE PRACTITIONER
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Name | TULSY SADLER
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Credential | FNP-C
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Telephone | 239-300-5976
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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 |
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License Number State |
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