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General NPI Number Information
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NPI Number | 1043439508
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Entity Type | Individual
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Provider Name | JOHN STEPHEN SELDEN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 01/25/2011
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Provider Practice Location Address
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Address Line | 2315 WEST ARBORS DRIVE SUITE 220
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City | CHARLOTTE
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State | NC
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Zip | 28262-2639
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Country | US
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Telephone | 704-597-3493
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Fax | 704-597-3494
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Provider Business Mailing Address
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Address Line | 2315 WEST ARBORS DRIVE SUITE 220
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City | CHARLOTTE
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State | NC
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Zip | 28262-2639
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Country | US
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Telephone | 704-597-3493
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Fax | 704-597-3494
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7048
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License Number State | NC
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