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General NPI Number Information
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NPI Number | 1871070177
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Entity Type | Individual
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Provider Name | DR. HIDEKI SETO
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Gender | Male
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 8551 RIXLEW LN STE 130
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City | MANASSAS
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State | VA
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Zip | 20109-4277
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Country | US
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Telephone | 703-677-8013
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Fax |
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Provider Business Mailing Address
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Address Line | 42816 LONGWORTH TER
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City | CHANTILLY
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State | VA
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Zip | 20152-6673
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Country | US
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Telephone | 646-339-3111
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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 | 0401416090
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License Number State | VA
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