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General NPI Number Information
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NPI Number | 1538559224
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Entity Type | Individual
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Provider Name | ROBERT MOOKA SEMAKULA FNP
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Gender | Male
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Dates
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Enumeration Date | 02/02/2015
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 4002 GARTH RD STE 160
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City | BAYTOWN
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State | TX
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Zip | 77521-3181
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Country | US
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Telephone | 281-338-4443
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Fax | 281-338-8821
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Provider Business Mailing Address
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Address Line | 15800 HIGHWAY 3 APT 1317
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City | WEBSTER
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State | TX
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Zip | 77598-2180
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Country | US
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Telephone | 240-595-9292
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP120964
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AP120964
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License Number State | TX
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