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General NPI Number Information
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NPI Number | 1700968724
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Entity Type | Individual
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Provider Name | JOHN M SEAMAN MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 420 N 2ND AVE SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES
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City | SANDPOINT
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State | ID
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Zip | 83864-1565
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Country | US
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Telephone | 208-265-2242
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2160 SANDPOINT PEDIATRICS - KANIKSU HEALTH SERVICES
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City | SANDPOINT
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State | ID
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Zip | 83864-0908
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Country | US
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Telephone | 208-265-2242
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M-12114
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License Number State | ID
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