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General NPI Number Information
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NPI Number | 1043685837
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Entity Type | Organization
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Legal Business Name | SAMER TABEL P.C.
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Dates
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Enumeration Date | 12/06/2015
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Last Update Date | 12/06/2015
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Provider Practice Location Address
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Address Line | 2420 BOB BULLOCK LOOP STE 18
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City | LAREDO
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State | TX
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Zip | 78043-4490
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Country | US
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Telephone | 956-795-8900
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Fax | 956-795-8902
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Provider Business Mailing Address
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Address Line | PO BOX 2330
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City | NEW CANEY
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State | TX
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Zip | 77357-2330
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Country | US
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Telephone | 951-719-7916
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMER TABEL
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Credential | DDS
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Telephone | 951-719-7916
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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 | 25209
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License Number State | TX
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