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General NPI Number Information
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NPI Number | 1902101835
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Entity Type | Individual
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Provider Name | AMY DANIELLE SEAY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 519 LATHAM DR
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City | LOWELL
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State | AR
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Zip | 72745-8360
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Country | US
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Telephone | 479-750-0125
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Fax | 479-750-0323
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Provider Business Mailing Address
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Address Line | 519 LATHAM DR
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City | LOWELL
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State | AR
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Zip | 72745-8360
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Country | US
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Telephone | 479-750-0125
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Fax | 479-750-0323
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 10-34AE-PL
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License Number State | AR
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