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General NPI Number Information
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NPI Number | 1609858273
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Entity Type | Individual
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Provider Name | CARLOS A SEUC MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 400 1ST CAPITOL DR SUITE 401
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2880
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Country | US
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Telephone | 636-946-8700
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Fax | 636-946-5094
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Provider Business Mailing Address
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Address Line | 400 1ST CAPITOL DR SUITE 401
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City | SAINT CHARLES
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State | MO
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Zip | 63301-2880
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Country | US
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Telephone | 636-946-8700
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Fax | 636-946-5094
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MDR7A66
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License Number State | MO
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