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General NPI Number Information
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NPI Number | 1780094524
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Entity Type | Organization
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Legal Business Name | SEMCOTECH, LLC
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Dates
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Enumeration Date | 05/01/2014
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 10291 N MERIDIAN ST SUITE #170
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1076
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Country | US
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Telephone | 317-973-0888
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Fax |
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Provider Business Mailing Address
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Address Line | 10291 N MERIDIAN ST STE 170
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City | INDIANAPOLIS
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State | IN
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Zip | 46290-1000
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Country | US
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Telephone | 317-658-4987
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Fax | 833-884-9394
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Authorized Official
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Title or Position | MEMBER
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Name | MR. STEVEN EDWARD MASCHMEYER
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Credential | CMTPT, LMT, BS
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Telephone | 317-658-4987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172M00000X
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Taxonomy Name | Mechanotherapist
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License Number |
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License Number State |
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