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General NPI Number Information
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NPI Number | 1699607465
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Entity Type | Individual
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Provider Name | ANDREW SEAFORD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 400 N INGALLS ST
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City | ANN ARBOR
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State | MI
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Zip | 48109-2003
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Country | US
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Telephone | 989-329-1799
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 RILEY ST
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City | HUDSONVILLE
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State | MI
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Zip | 49426-9669
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Country | US
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Telephone | 989-329-1799
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 4704317767
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License Number State | MI
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