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General NPI Number Information
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NPI Number | 1134658552
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Entity Type | Individual
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Provider Name | KRISTEN LEIGH SELIGMAN COFFROTH MD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 1417 S CLIFF AVE STE 300
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1062
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Country | US
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Telephone | 605-504-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 S CLIFF AVE STE 300
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City | SIOUX FALLS
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State | SD
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Zip | 57105-1062
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Country | US
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Telephone | 605-504-3000
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | R-10906
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 77226-20
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License Number State | WI
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