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NPI 1285858977

NPI 1285858977 : JAMES WARREN SEYFRIED DDS : MINDEN, NV

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General NPI Number Information
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    NPI Number           |    1285858977
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES WARREN SEYFRIED DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    06/19/2012
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Provider Practice Location Address
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    Address Line         |    1624 LIBRARY LN 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4488
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    Country              |    US
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    Telephone            |    775-782-8176
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    Fax                  |    775-783-9176
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Provider Business Mailing Address
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    Address Line         |    1624 LIBRARY LN 
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    City                 |    MINDEN
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    State                |    NV
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    Zip                  |    89423-4488
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    Country              |    US
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    Telephone            |    775-782-8176
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    Fax                  |    775-783-9176
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    2229
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    License Number State |    NV
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