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General NPI Number Information
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NPI Number | 1326058793
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Entity Type | Organization
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Legal Business Name | SEITLIN, NIEDAN, & SEITLIN, PLLC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1014 EAST BLVD.
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City | CHARLOTTE
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State | NC
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Zip | 28203
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Country | US
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Telephone | 704-375-2030
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Fax | 704-371-4480
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Provider Business Mailing Address
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Address Line | 1014 EAST BLVD.
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City | CHARLOTTE
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State | NC
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Zip | 28203
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Country | US
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Telephone | 704-375-2030
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Fax | 704-371-4480
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Authorized Official
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Title or Position | MANAGING PARTNER DENTIST
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Name | DR. LAWRENCE S SEITLIN
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Credential | DDS
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Telephone | 704-375-2030
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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 | 7198
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7805
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3856
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License Number State | NC
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