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General NPI Number Information
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NPI Number | 1750503009
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Entity Type | Organization
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Legal Business Name | SETH M. BLITZER, DMD, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2004 SPROUL RD SUITE 204
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City | BROOMALL
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State | PA
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Zip | 19008
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Country | US
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Telephone | 610-356-3010
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Fax | 610-356-3339
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Provider Business Mailing Address
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Address Line | 2004 SPROUL RD SUITE 204
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City | BROOMALL
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State | PA
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Zip | 19008
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SETH BLITZER
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Credential |
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Telephone | 610-356-3010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS-026360L
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License Number State | PA
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