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General NPI Number Information
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NPI Number | 1912156290
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Entity Type | Organization
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Legal Business Name | RICHARD B SEELY MD PA
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 01/08/2009
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Provider Practice Location Address
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Address Line | 1835 MAIN ST SUITE 101
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City | WESTON
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State | FL
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Zip | 33326-3648
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Country | US
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Telephone | 954-306-0722
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Fax | 954-306-0721
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Provider Business Mailing Address
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Address Line | 1835 MAIN ST SUITE 101
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City | WESTON
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State | FL
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Zip | 33326-3648
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Country | US
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Telephone | 954-306-0722
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Fax | 954-306-0721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD B SEELY
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Credential | M.D.
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Telephone | 954-306-0722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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