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General NPI Number Information
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NPI Number | 1730384686
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Entity Type | Individual
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Provider Name | CHRISTINA J. SEO MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 216 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2444
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Country | US
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Telephone | 201-567-7615
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Fax | 201-567-8033
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Provider Business Mailing Address
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Address Line | 216 ENGLE ST
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-2444
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Country | US
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Telephone | 201-567-7615
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Fax | 201-567-8033
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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 | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 25MA08674700
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License Number State | NJ
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