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General NPI Number Information
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NPI Number | 1720289424
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Entity Type | Individual
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Provider Name | ROBERT TODD SEABROOK MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 970 LAKELAND DR STE 45
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City | JACKSON
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State | MS
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Zip | 39216-4640
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Country | US
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Telephone | 601-313-9802
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Fax | 601-313-9804
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Provider Business Mailing Address
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Address Line | PO BOX 649113
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City | DALLAS
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State | TX
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Zip | 75264-9113
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Country | US
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Telephone | 855-343-5763
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Fax | 855-343-5763
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD44865
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | E-17125
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 33417
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License Number State | MS
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