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General NPI Number Information
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NPI Number | 1780232397
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Entity Type | Individual
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Provider Name | AMY LOUISE SEIDEWAND LM, CPM
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Gender | Female
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 08/27/2019
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Provider Practice Location Address
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Address Line | 20696 BOND RD NE STE 110
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City | POULSBO
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State | WA
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Zip | 98370-9025
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Country | US
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Telephone | 360-779-0004
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Fax | 206-260-1261
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Provider Business Mailing Address
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Address Line | 4235 EAGLEMOUNT RD
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City | CHIMACUM
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State | WA
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Zip | 98325-8760
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Country | US
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Telephone | 831-332-6519
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW60977859
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License Number State | WA
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