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General NPI Number Information
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NPI Number | 1881354454
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Entity Type | Individual
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Provider Name | GRAHAM SEERING PA-C
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Gender | Male
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 5800 RIDGE AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19128
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Country | US
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Telephone | 215-483-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 CATHARINE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2138
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Country | US
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Telephone | 410-530-5175
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | OA005959
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA063261
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License Number State | PA
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