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General NPI Number Information
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NPI Number | 1720527013
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Entity Type | Individual
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Provider Name | SHEILA MAE SEO
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 8 MAPLE ST STE 7
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-2963
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Country | US
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Telephone | 929-329-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 20216 ROCKY HILL RD APT B2
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City | BAYSIDE
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State | NY
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Zip | 11361-3011
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Country | US
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Telephone | 929-329-6600
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 037699
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License Number State | NY
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