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General NPI Number Information
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NPI Number | 1104100221
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Entity Type | Individual
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Provider Name | SEIHA THORNG DPM
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Gender | Male
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 420 W ACACIA ST STE 18
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City | STOCKTON
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State | CA
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Zip | 95203-2441
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Country | US
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Telephone | 209-425-4846
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Fax | 209-425-0570
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Provider Business Mailing Address
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Address Line | 420 W ACACIA ST STE 18
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City | STOCKTON
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State | CA
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Zip | 95203-2441
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Country | US
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Telephone | 209-425-4846
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Fax | 209-425-0570
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1267
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5293
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License Number State | CA
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