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General NPI Number Information
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NPI Number | 1639610553
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Entity Type | Organization
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Legal Business Name | SETH A. EAPPEN, MD PLLC
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Dates
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Enumeration Date | 03/10/2017
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 600 ENTERPRISE DR STE 220
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City | OAK BROOK
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State | IL
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Zip | 60523
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Country | US
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Telephone | 844-632-7736
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Fax | 888-972-3621
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Provider Business Mailing Address
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Address Line | 600 ENTERPRISE DR STE 220
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City | OAK BROOK
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State | IL
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Zip | 60523-4202
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Country | US
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Telephone | 844-632-7736
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Fax | 888-972-3621
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Authorized Official
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Title or Position | OWNER
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Name | SETH EAPPEN
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Credential | M.D.
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Telephone | 844-632-7736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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