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General NPI Number Information
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NPI Number | 1154560381
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Entity Type | Organization
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Legal Business Name | RICHARD D. SEMERAN M D PC
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 01/13/2012
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Provider Practice Location Address
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Address Line | 600 E GENESEE ST SUITE 200
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City | SYRACUSE
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State | NY
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Zip | 13202-3130
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Country | US
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Telephone | 315-474-7377
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Fax | 315-474-5640
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Provider Business Mailing Address
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Address Line | 600 E GENESEE ST SUITE 200
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City | SYRACUSE
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State | NY
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Zip | 13202-3130
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Country | US
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Telephone | 315-474-7377
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Fax | 315-474-5640
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Authorized Official
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Title or Position | PHYSICIAN
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Name | RICHARD D SEMERAN
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Credential | M.D.
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Telephone | 315-474-7377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 420080
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 173039
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License Number State | NY
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