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General NPI Number Information
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NPI Number | 1508991860
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Entity Type | Organization
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Legal Business Name | LOURDES T SEEHOFFER DMD PA
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1236 E LIME ST
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City | LAKELAND
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State | FL
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Zip | 33801-5754
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Country | US
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Telephone | 863-687-7726
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Fax | 863-603-0262
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Provider Business Mailing Address
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Address Line | 2141 RAINBOWER DR
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City | LAKELAND
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State | FL
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Zip | 33810-8208
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Country | US
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Telephone | 863-859-4686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LOURDES TORRES SEEHOFFER
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Credential | DMD
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Telephone | 863-687-7726
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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 | 10389
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License Number State | FL
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