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General NPI Number Information
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NPI Number | 1366671190
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Entity Type | Individual
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Provider Name | PRIYANKA SEEKAND DMD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 1200 ERNEST W BARRETT PKWY NW
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City | KENNESAW
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State | GA
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Zip | 30144-7557
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Country | US
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Telephone | 678-354-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 1990 COBBLESTONE CIR NE
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City | ATLANTA
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State | GA
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Zip | 30319-4908
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Country | US
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Telephone | 678-520-9398
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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 | N/A
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License Number State | PA
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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 | DSO14536
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License Number State | GA
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