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General NPI Number Information
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NPI Number | 1427257484
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Entity Type | Organization
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Legal Business Name | LISA M SEMPLE, DO PC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 5353 REYNOLDS ST STE 201
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City | SAVANNAH
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State | GA
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Zip | 31405-6087
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Country | US
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Telephone | 912-352-7293
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Fax | 912-353-9782
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Provider Business Mailing Address
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Address Line | 5353 REYNOLDS ST STE 201
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City | SAVANNAH
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State | GA
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Zip | 31405-6087
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Country | US
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Telephone | 912-352-7293
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Fax | 912-353-9782
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA M SEMPLE
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Credential | DO
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Telephone | 912-352-7293
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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 | 051284
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License Number State | GA
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