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General NPI Number Information
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NPI Number | 1285561878
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Entity Type | Organization
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Legal Business Name | ETHAN SEAMAN ACUPUNCTURE INC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 201 MILLER AVE
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City | MILL VALLEY
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State | CA
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Zip | 94941-2817
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Country | US
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Telephone | 510-200-8654
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Fax |
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Provider Business Mailing Address
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Address Line | 1518 EDITH ST
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City | BERKELEY
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State | CA
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Zip | 94703-1124
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Country | US
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Telephone | 510-200-8654
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / ACUPUNCTURIST
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Name | ETHAN SEAMAN
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Credential | LAC
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Telephone | 510-200-8654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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