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General NPI Number Information
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NPI Number | 1114155108
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Entity Type | Organization
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Legal Business Name | SEMA BANK, MD, LLC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 401A S VAN BRUNT ST SUITE 405
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4600
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Country | US
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Telephone | 201-871-4346
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Fax | 201-871-0196
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Provider Business Mailing Address
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Address Line | 401A S VAN BRUNT ST SUITE 405
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-4600
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Country | US
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Telephone | 201-871-0196
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Fax | 201-871-0196
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Authorized Official
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Title or Position | BILLING MGR
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Name | KERRY A STOKES
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Credential |
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Telephone | 201-871-4346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA081263
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License Number State | NJ
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