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General NPI Number Information
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NPI Number | 1982288619
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Entity Type | Individual
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Provider Name | SEMIRA SABANOVIC PA
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Gender | Female
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 1717 SHAFFER ST
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City | KALAMAZOO
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State | MI
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Zip | 49048-1647
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Country | US
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Telephone | 269-381-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 830 NIAGRA PRESERVATION CIR APT 305
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City | KALAMAZOO
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State | MI
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Zip | 49006-6127
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Country | US
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Telephone | 586-556-1233
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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