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General NPI Number Information
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NPI Number | 1104166859
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Entity Type | Organization
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Legal Business Name | SETH ATKINS, DDS, PLLC
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Dates
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Enumeration Date | 02/17/2013
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Last Update Date | 02/17/2013
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Provider Practice Location Address
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Address Line | 1408 W JEFFERSON ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2208
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Country | US
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Telephone | 972-937-8433
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Fax | 972-938-9655
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Provider Business Mailing Address
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Address Line | 1408 W JEFFERSON ST
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2208
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Country | US
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Telephone | 972-937-8433
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Fax | 972-938-9655
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. MICHAEL SETH ATKINS
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Credential | DDS
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Telephone | 817-201-9765
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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 | 23984
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License Number State | TX
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