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General NPI Number Information
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NPI Number | 1730273509
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Entity Type | Individual
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Provider Name | PATRICIA L. SEAL M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 30 FARRELL ST STE 200
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-6112
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Country | US
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Telephone | 802-864-9522
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Fax | 802-859-8928
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Provider Business Mailing Address
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Address Line | 30 FARRELL ST STE 200
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City | SOUTH BURLINGTON
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State | VT
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Zip | 05403-6112
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Country | US
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Telephone | 802-864-9522
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Fax | 802-859-8928
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 042-0007898
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License Number State | VT
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