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General NPI Number Information
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NPI Number | 1750612198
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Entity Type | Individual
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Provider Name | HEATHER SEAY L.AC.
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Gender | Female
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Dates
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Enumeration Date | 01/25/2010
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 1550 E 3300 S
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City | SALT LAKE CITY
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State | UT
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Zip | 84106-3311
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Country | US
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Telephone | 831-277-3792
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 902376
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City | SANDY
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State | UT
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Zip | 84090-2376
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Country | US
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Telephone | 831-277-3792
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 354913-1201
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License Number State | UT
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