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General NPI Number Information
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NPI Number | 1437836327
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Entity Type | Individual
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Provider Name | RICHARD AUSTIN SEASE
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Gender | Male
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 1008 ATLANTA HWY
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City | WARRENTON
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State | GA
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Zip | 30828-9109
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Country | US
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Telephone | 706-465-3253
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Fax | 478-864-1288
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Provider Business Mailing Address
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Address Line | PO BOX 371
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-0371
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Country | US
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Telephone | 788-643-4484
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Fax | 478-864-1288
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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 | DN123774
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License Number State | GA
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