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NPI 1568733616

NPI 1568733616 : AMIT SETHI BDS, MDS : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1568733616
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    Entity Type          |    Individual 
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    Provider Name        |    AMIT SETHI BDS, MDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/21/2012
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    Last Update Date     |    03/15/2019
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Provider Practice Location Address
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    Address Line         |    4475 ADLER DR STE 103 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75211
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    Country              |    US
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    Telephone            |    214-331-7275
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    Fax                  |    214-331-7267
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Provider Business Mailing Address
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    Address Line         |    4475 ADLER DR STE 103 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75211
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    Country              |    US
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    Telephone            |    214-331-7275
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    Fax                  |    214-331-7267
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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       |    27639
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    27639
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    License Number State |    TX
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