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General NPI Number Information
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NPI Number | 1932912318
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Entity Type | Individual
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Provider Name | NIKLAS SEIDEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 17620 NE 69TH CT # 140
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City | REDMOND
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State | WA
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Zip | 98052-7129
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Country | US
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Telephone | 206-631-0231
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Fax |
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Provider Business Mailing Address
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Address Line | 624 YALE AVE N APT 501
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City | SEATTLE
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State | WA
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Zip | 98109-5952
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Country | US
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Telephone | 905-717-7997
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH.61612414
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License Number State | WA
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