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General NPI Number Information
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NPI Number | 1285724914
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Entity Type | Organization
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Legal Business Name | SEMMA MEDICAL PLLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 2414 33RD ST STE A
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City | ASTORIA
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State | NY
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Zip | 11102-1137
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Country | US
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Telephone | 718-932-7315
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Fax | 718-956-0254
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Provider Business Mailing Address
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Address Line | 2414 33RD ST STE A
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City | ASTORIA
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State | NY
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Zip | 11102-1137
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Country | US
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Telephone | 718-932-7315
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Fax | 718-956-0254
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELISABETH M ALEXIS
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Credential | M.D.
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Telephone | 718-932-7315
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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 | 144701-1
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License Number State | NY
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