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General NPI Number Information
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NPI Number | 1497272132
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Entity Type | Individual
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Provider Name | NATALIE MARIE SEMAAN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 444 W ARMY TRAIL RD
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1379
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Country | US
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Telephone | 312-973-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 821 HIDDEN PINE RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-2410
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Country | US
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Telephone | 248-647-6944
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 019.031334
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License Number State | IL
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