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General NPI Number Information
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NPI Number | 1346730843
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Entity Type | Individual
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Provider Name | JOSE SERAFIN SEOTA DDS
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Gender | Male
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Dates
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Enumeration Date | 05/10/2018
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 12260 SW 8TH ST STE 226
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City | MIAMI
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State | FL
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Zip | 33184-1549
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Country | US
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Telephone | 305-556-0666
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Fax | 305-553-0933
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Provider Business Mailing Address
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Address Line | 4170 NW 79TH AVE APT 2B
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City | DORAL
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State | FL
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Zip | 33166-6555
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Country | US
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Telephone | 305-305-1556
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN2564
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License Number State | FL
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