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General NPI Number Information
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NPI Number | 1639349897
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Entity Type | Organization
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Legal Business Name | SEMIAN SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 08/18/2008
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Provider Practice Location Address
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Address Line | ONE COMMERCE AVENUE
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City | SELINSGROVE
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State | PA
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Zip | 17870
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Country | US
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Telephone | 570-374-9339
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Fax | 570-374-7436
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Provider Business Mailing Address
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Address Line | ONE COMMERCE AVENUE
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City | SELINSGROVE
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State | PA
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Zip | 17870
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Country | US
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Telephone | 570-374-9339
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Fax | 570-374-7436
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Authorized Official
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Title or Position | SOLE PROPPRIETOR
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Name | DR. JOHN ALAN SEMIAN
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Credential | MD
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Telephone | 570-374-9339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MD418609
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License Number State | PA
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