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General NPI Number Information
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NPI Number | 1992128979
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Entity Type | Organization
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Legal Business Name | RUI SERGIO SEU DDS PC
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 33 CAROLINE DR
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City | PRINCETON
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State | NJ
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Zip | 08540
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Country | US
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Telephone | 609-730-0071
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Fax |
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Provider Business Mailing Address
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Address Line | 505 CHESTNUT ST
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City | ROSELLE PARK
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State | NJ
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Zip | 07204-1918
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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 | OWNER
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Name | DR. RUI SERGIO SEU
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Credential | DDS
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Telephone | 908-241-2220
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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 | 22DI01915500
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License Number State | NJ
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