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General NPI Number Information
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NPI Number | 1013524529
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Entity Type | Individual
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Provider Name | EDEN SEMACHEW
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Gender | Female
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 8600 HARRY HINES BLVD STE 100
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City | DALLAS
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State | TX
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Zip | 75235-3005
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Country | US
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Telephone | 888-282-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 430 BUCKINGHAM RD APT 1324
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City | RICHARDSON
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State | TX
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Zip | 75081-5762
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Country | US
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Telephone | 214-709-5598
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57831
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License Number State | TX
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