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General NPI Number Information
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NPI Number | 1023105004
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Entity Type | Individual
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Provider Name | SHELDON RONALD SEIDEL D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10020 SOUTHERN MARYLAND BLVD STE. 201B
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City | DUNKIRK
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State | MD
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Zip | 20754-3031
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Country | US
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Telephone | 410-257-0353
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Fax |
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Provider Business Mailing Address
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Address Line | 10020 SOUTHERN MARYLAND BLVD STE. 201B
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City | DUNKIRK
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State | MD
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Zip | 20754-3031
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Country | US
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Telephone | 410-257-0353
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8485
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License Number State | MD
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