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General NPI Number Information
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NPI Number | 1740426576
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Entity Type | Organization
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Legal Business Name | SETH D. LATIMER, DDS, PC
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 414 SOUTH ST
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City | HYANNIS
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State | MA
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Zip | 02601-5434
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Country | US
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Telephone | 508-775-5518
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Fax |
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Provider Business Mailing Address
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Address Line | 414 SOUTH ST
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City | HYANNIS
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State | MA
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Zip | 02601-5434
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Country | US
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Telephone | 508-775-5518
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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. SETH LATIMER
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Credential | D.D.S, M.S.
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Telephone | 508-775-5518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 21472
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License Number State | MA
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