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General NPI Number Information
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NPI Number | 1770109548
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Entity Type | Individual
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Provider Name | SEMHAR ISAAK TSEGAI FNP
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 3535 S INTERSTATE 35 E
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City | DENTON
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State | TX
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Zip | 76210-6850
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Country | US
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Telephone | 801-633-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 3022 S DURANGO DR STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-4440
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Country | US
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Telephone | 702-791-1247
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 830408
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 112436
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License Number State | TX
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