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General NPI Number Information
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NPI Number | 1316469778
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Entity Type | Individual
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Provider Name | CHET SEAMONS HEAP DMD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/07/2017
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Provider Practice Location Address
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Address Line | 3737 GRAND AVE STE 8
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City | BILLINGS
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State | MT
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Zip | 59102-6258
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Country | US
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Telephone | 406-652-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 WESTERN BLUFFS BLVD
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City | BILLINGS
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State | MT
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Zip | 59106
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Country | US
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Telephone | 406-595-4327
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN-DEN-LIC-13484
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License Number State | MT
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