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General NPI Number Information
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NPI Number | 1801147673
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Entity Type | Organization
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Legal Business Name | DANIEL SEMUHA DDS P.C.
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 2846 THOUSAND OAKS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78232-4193
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Country | US
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Telephone | 818-430-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 2846 THOUSAND OAKS DR.
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City | SAN ANTONIO
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State | TX
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Zip | 78232-6044
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Country | US
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Telephone | 210-545-1111
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DANIEL SEMUHA
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Credential | DDS
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Telephone | 210-545-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27177
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 24982
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License Number State | TX
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