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General NPI Number Information
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NPI Number | 1063001535
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Entity Type | Individual
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Provider Name | SETH KINTIGH
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Gender | Male
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 14 S 3RD AVE
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City | FRUITPORT
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State | MI
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Zip | 49415-9699
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Country | US
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Telephone | 517-750-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 1875 CHANNEL RD
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City | NORTON SHORES
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State | MI
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Zip | 49441-5215
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301011045
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License Number State | MI
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