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General NPI Number Information
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NPI Number | 1629393541
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Entity Type | Individual
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Provider Name | MICHAEL SETH REICH
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Gender | Male
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Dates
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Enumeration Date | 04/03/2010
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 1500 CURVE CREST BLVD W
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City | STILLWATER
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State | MN
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Zip | 55082-6040
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Country | US
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Telephone | 952-831-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 8170 33RD AVE MS 21110Q
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City | BLOOMINGTON
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State | MN
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Zip | 55425-4516
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Country | US
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Telephone | 651-254-8300
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Fax | 651-254-8379
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 65999
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 65999
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License Number State | MN
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