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NPI 1013906627

NPI 1013906627 : LYNN H SAMUEL MD : WARRENTON, VA

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General NPI Number Information
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    NPI Number           |    1013906627
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    Entity Type          |    Individual 
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    Provider Name        |    LYNN H SAMUEL MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2005
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    Last Update Date     |    05/27/2014
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Provider Practice Location Address
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    Address Line         |    493 BLACKWELL RD SUITE 101A
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    City                 |    WARRENTON
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    State                |    VA
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    Zip                  |    20186-2628
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    Country              |    US
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    Telephone            |    540-316-5604
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    Fax                  |    540-316-5601
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Provider Business Mailing Address
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    Address Line         |    1560 CHAPMAN RD 
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    City                 |    STANARDSVILLE
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    State                |    VA
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    Zip                  |    22973-3620
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    Country              |    US
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    Telephone            |    540-316-5604
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    Fax                  |    540-316-5601
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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        |    207ZB0001X
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    Taxonomy Name        |    Blood Banking & Transfusion Medicine Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    207ZC0500X
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    Taxonomy Name        |    Cytopathology Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    207ZH0000X
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    Taxonomy Name        |    Hematology (Pathology) Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #4
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    Taxonomy Code        |    207ZP0102X
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    Taxonomy Name        |    Anatomic Pathology & Clinical Pathology Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #5
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    Taxonomy Code        |    207ZP0104X
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    Taxonomy Name        |    Chemical Pathology Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #6
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    Taxonomy Code        |    207ZP0105X
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    Taxonomy Name        |    Clinical Pathology/Laboratory Medicine Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #7
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    Taxonomy Code        |    207ZP0213X
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    Taxonomy Name        |    Pediatric Pathology Physician
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    License Number       |    0101044708
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    License Number State |    VA
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Taxonomy #8
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    Taxonomy Code        |    207PE0005X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
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    License Number       |    0101044708
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    License Number State |    VA
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