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General NPI Number Information
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NPI Number | 1326621137
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Entity Type | Individual
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Provider Name | DARIEN LEE SEIDMAN DO
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Gender | Male
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Dates
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Enumeration Date | 04/29/2021
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 4055 VALLEY VIEW LN
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City | DALLAS
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State | TX
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Zip | 75244-5074
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Country | US
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Telephone | 816-890-9879
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Fax |
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Provider Business Mailing Address
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Address Line | 53 COUNTRY CLUB LN
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City | MARLTON
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State | NJ
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Zip | 08053-9713
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Country | US
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Telephone | 609-442-1333
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS023378
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License Number State | PA
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