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General NPI Number Information
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NPI Number | 1720022627
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Entity Type | Individual
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Provider Name | GEORGE BINGHAM SEELEY LMSW
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Gender | Male
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 242 MAIN ST
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City | ONEONTA
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State | NY
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Zip | 13820-2527
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Country | US
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Telephone | 607-433-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BEECH ST
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1003
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Country | US
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Telephone | 607-547-2903
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 072152-1
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License Number State | NY
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