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General NPI Number Information
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NPI Number | 1912110198
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Entity Type | Individual
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Provider Name | SHANNON N. W. SEATON M. A., SLPE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4850 E ANDREW JOHNSON HWY
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City | GREENEVILLE
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State | TN
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Zip | 37745-3098
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Country | US
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Telephone | 423-787-6853
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Fax |
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Provider Business Mailing Address
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Address Line | 204 W SAVANNA CT
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City | GREENEVILLE
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State | TN
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Zip | 37743-4505
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Country | US
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Telephone | 423-638-1133
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 11724
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License Number State | TN
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