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General NPI Number Information
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NPI Number | 1801423710
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Entity Type | Individual
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Provider Name | MICHAEL JOHN SEELIG DMD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 495 DUNLOP LN STE 112
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City | CLARKSVILLE
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State | TN
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Zip | 37040-5296
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Country | US
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Telephone | 931-221-0052
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Fax |
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Provider Business Mailing Address
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Address Line | 116 CREIGHTON AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-2204
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Country | US
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Telephone | 314-306-0003
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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 | 11232
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 11232
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License Number State | TN
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