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General NPI Number Information
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NPI Number | 1821638206
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Entity Type | Individual
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Provider Name | SAMANTHA DIANE SEITZ DMD
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Gender | Female
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 2900 SEMINARY DR BLDG E
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City | GREENSBURG
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State | PA
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Zip | 15601-3734
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Country | US
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Telephone | 724-552-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 6342 MARCHAND ST APT 2
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City | PITTSBURGH
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State | PA
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Zip | 15206-4312
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Country | US
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Telephone | 772-643-5158
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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 | DS041996
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License Number State | PA
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