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General NPI Number Information
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NPI Number | 1699753681
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Entity Type | Individual
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Provider Name | JOHANNA MARGARET SEDDON MD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 10 HAWTHORNE PL STE 106
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City | BOSTON
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State | MA
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Zip | 02114-2336
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Country | US
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Telephone | 617-523-0955
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Fax | 617-523-5376
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Provider Business Mailing Address
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Address Line | 4 LOUISBURG SQ
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City | BOSTON
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State | MA
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Zip | 02108-1203
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Country | US
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Telephone | 617-943-7859
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Fax | 617-636-1124
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 38282
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number | 38282
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License Number State | MA
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