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NPI 1609129675

NPI 1609129675 : NATHAN L SEIP RPH : NEW YORK MILLS, MN

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General NPI Number Information
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    NPI Number           |    1609129675
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    Entity Type          |    Individual 
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    Provider Name        |    NATHAN L SEIP RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2012
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    Last Update Date     |    09/28/2020
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Provider Practice Location Address
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    Address Line         |    97 MILLER ST 
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    City                 |    NEW YORK MILLS
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    State                |    MN
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    Zip                  |    56567-4300
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    Country              |    US
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    Telephone            |    218-385-3360
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    Fax                  |    218-385-4535
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Provider Business Mailing Address
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    Address Line         |    PO BOX 98 
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    City                 |    NEW YORK MILLS
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    State                |    MN
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    Zip                  |    56567-0098
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    Country              |    US
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    Telephone            |    218-385-3360
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    Fax                  |    218-385-4535
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    114339
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    License Number State |    MN
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