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General NPI Number Information
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NPI Number | 1477641132
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Entity Type | Individual
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Provider Name | KEITH E SETO MD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 175 RIDGE RD STE 200
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City | MCKINNEY
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State | TX
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Zip | 75070-5104
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Country | US
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Telephone | 469-287-8381
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 261402
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City | PLANO
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State | TX
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Zip | 75026-1402
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Country | US
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Telephone | 469-287-8381
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 45852-020
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | M5494
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License Number State | TX
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