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General NPI Number Information
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NPI Number | 1720165871
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Entity Type | Individual
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Provider Name | AMANDA MAREE SENGEL DDS
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 116 CANDLER OAKS LN
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City | DECATUR
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State | GA
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Zip | 30030-3714
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Country | US
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Telephone | 405-833-8491
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CANDLER OAKS LN
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City | DECATUR
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State | GA
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Zip | 30030-3714
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Country | US
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Telephone | 405-833-8491
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN013399
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License Number State | GA
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