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General NPI Number Information
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NPI Number | 1013905173
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Entity Type | Individual
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Provider Name | WASYL SZEREMETA MD MBA
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 16723 HUEBNER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78248-2351
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Country | US
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Telephone | 210-644-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 903 W MARTIN ST # MS 49-2
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City | SAN ANTONIO
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State | TX
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Zip | 78207-0903
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Country | US
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Telephone | 201-358-5909
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Fax | 210-358-5940
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 258074
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 258074
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | R5658
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License Number State | TX
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