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General NPI Number Information
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NPI Number | 1154520757
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Entity Type | Individual
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Provider Name | NATHAN SETH BOX D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2613 S MAIN ST STE D
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City | JOPLIN
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State | MO
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Zip | 64804-2678
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Country | US
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Telephone | 417-553-7920
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Fax | 877-464-5922
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Provider Business Mailing Address
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Address Line | 2613 S MAIN ST STE D
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City | JOPLIN
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State | MO
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Zip | 64804-2678
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Country | US
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Telephone | 417-553-7920
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Fax | 877-464-5922
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 2009032385
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 2009032385
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 2005019100
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License Number State | MO
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