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NPI 1811464258

NPI 1811464258 : CHAD SEATON : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1811464258
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    Entity Type          |    Individual 
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    Provider Name        |    CHAD SEATON
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/24/2018
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    Last Update Date     |    10/24/2018
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Provider Practice Location Address
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    Address Line         |    1510 ORIOLE DR 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47715-5244
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    Country              |    US
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    Telephone            |    812-459-2942
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1510 ORIOLE DR 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47715-5244
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    Country              |    US
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    Telephone            |    812-459-2942
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    100521
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    License Number State |    KY
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