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General NPI Number Information
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NPI Number | 1972194561
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Entity Type | Individual
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Provider Name | BEAU PRESCOTT SEMLER NP
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Gender | Male
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Dates
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Enumeration Date | 01/27/2021
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Last Update Date | 03/29/2021
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Provider Practice Location Address
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Address Line | 112 HOSPITAL LN STE 303
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City | DANVILLE
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State | IN
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Zip | 46122-1998
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Country | US
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Telephone | 317-718-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1917 ABBEY LN
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City | DANVILLE
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State | IN
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Zip | 46122-9538
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Country | US
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Telephone | 317-695-6145
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28164648A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 71010794A
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License Number State | IN
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