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General NPI Number Information
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NPI Number | 1104286756
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Entity Type | Individual
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Provider Name | NATALIE SEMENOVSKI NP-C
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Gender | Female
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 3457 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5131
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Country | US
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Telephone | 718-535-5100
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Fax | 718-449-9028
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Provider Business Mailing Address
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Address Line | 3457 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11229-5131
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Country | US
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Telephone | 718-535-5100
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2304659
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F307606-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | F307606-1
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License Number State | NY
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