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General NPI Number Information
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NPI Number | 1841641404
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Entity Type | Individual
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Provider Name | AMY SEEHUSEN DDS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 06/24/2016
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Provider Practice Location Address
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Address Line | 1800 FLORAL AVE
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City | FORT DODGE
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State | IA
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Zip | 50501-7721
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Country | US
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Telephone | 515-573-8251
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Fax |
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Provider Business Mailing Address
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Address Line | 51813 170TH AVE
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City | POCAHONTAS
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State | IA
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Zip | 50574-8648
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Country | US
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Telephone | 515-571-2541
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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 | DDS-09310
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License Number State | IA
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