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General NPI Number Information
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NPI Number | 1659644656
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER SEAVEY, LMHC, PA
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 9853 TAMIAMI TRL N SUITE 213
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City | NAPLES
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State | FL
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Zip | 34108-1909
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Country | US
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Telephone | 239-595-7775
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Fax | 239-566-3534
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Provider Business Mailing Address
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Address Line | 9853 TAMIAMI TRL N SUITE 213
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City | NAPLES
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State | FL
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Zip | 34108-1909
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Country | US
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Telephone | 239-595-7775
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Fax | 239-566-3534
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. CHRISTOPHER GORDON SEAVEY
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Credential |
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Telephone | 239-595-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MH3547
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License Number State | FL
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