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General NPI Number Information
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NPI Number | 1811820574
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Entity Type | Individual
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Provider Name | SANDY SEEDHOM RBT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 268 VETERANS PKWY
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City | MURFREESBORO
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State | TN
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Zip | 37128-6431
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Country | US
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Telephone | 615-987-8958
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 KEW GDN
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City | SMYRNA
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State | TN
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Zip | 37167-1290
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Country | US
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Telephone | 615-336-2298
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-451146
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License Number State | TN
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