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General NPI Number Information
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NPI Number | 1699808659
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Entity Type | Individual
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Provider Name | DANIEL WAYNE SEACHRIST M.ED.,PSYCHOLOGIST
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Gender | Male
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 03/18/2015
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Provider Practice Location Address
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Address Line | 141 W MAIN ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-3107
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Country | US
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Telephone | 330-559-1834
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Fax |
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Provider Business Mailing Address
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Address Line | 767 HOPETOWN RD APT. P4
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-8879
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Country | US
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Telephone | 740-775-2300
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 668
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License Number State | OH
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