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General NPI Number Information
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NPI Number | 1053715417
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Entity Type | Individual
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Provider Name | MICHELLE SEEBINGER RDH
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Gender | Female
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 10/14/2014
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Provider Practice Location Address
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Address Line | 6349 HWY 550
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City | CUBA
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State | NM
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Zip | 87013
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Country | US
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Telephone | 505-261-9923
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Fax |
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Provider Business Mailing Address
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Address Line | 9630B GUADALUPE TRL NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-2005
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Country | US
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Telephone | 505-261-9923
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH516
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License Number State | NM
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