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General NPI Number Information
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NPI Number | 1427020601
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Entity Type | Individual
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Provider Name | SETH LEE MILLER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 403 BENSON ST
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City | PHILA
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State | PA
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Zip | 19111-1835
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Country | US
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Telephone | 215-728-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 948 SOMERSET AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-2130
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Country | US
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Telephone |
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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 | DS-023452-L
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License Number State | PA
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