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General NPI Number Information
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NPI Number | 1609136043
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Entity Type | Individual
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Provider Name | SEMANTHA NATASHA CHARLES DDS
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Gender | Female
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Dates
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Enumeration Date | 05/19/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4343 W CAMP WISDOM RD SUITE 102
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City | DALLAS
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State | TX
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Zip | 75237-2467
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Country | US
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Telephone | 972-572-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 CITYPLACE WEST BLVD APT #303
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City | DALLAS
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State | TX
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Zip | 75204-0358
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Country | US
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Telephone | 347-446-6076
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 32742
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License Number State | TX
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