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General NPI Number Information
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NPI Number | 1639536279
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Entity Type | Individual
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Provider Name | TRUMAN SEILER IV D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/27/2016
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 1929 W FILLMORE ST
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City | PHOENIX
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State | AZ
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Zip | 85009-3812
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Country | US
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Telephone | 602-258-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 2807 E SUNNYSIDE DR
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City | PHOENIX
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State | AZ
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Zip | 85028-1228
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Country | US
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Telephone | 602-404-5992
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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 | 9356
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License Number State | AZ
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