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General NPI Number Information
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NPI Number | 1023665494
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Entity Type | Organization
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Legal Business Name | SAMA HEALTHCARE INC
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 01/05/2021
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Provider Practice Location Address
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Address Line | 105 W BASTANCHURY RD STE D
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City | FULLERTON
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State | CA
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Zip | 92835-2525
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Country | US
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Telephone | 714-500-7727
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Fax |
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Provider Business Mailing Address
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Address Line | 191 GROVELAND
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City | IRVINE
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State | CA
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Zip | 92620-2826
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Country | US
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Telephone | 805-720-4563
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Fax |
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Authorized Official
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Title or Position | PIC/CEO
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Name | SAMAH IBRAHIM
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Credential |
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Telephone | 714-500-7727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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