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General NPI Number Information
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NPI Number | 1124289095
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Entity Type | Individual
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Provider Name | LENA S SAMUEL MD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 228 E ROUTE 59
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City | NANUET
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State | NY
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Zip | 10954-2905
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Country | US
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Telephone | 845-422-0615
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Fax | 845-302-8025
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Provider Business Mailing Address
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Address Line | 228 E ROUTE 59
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City | NANUET
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State | NY
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Zip | 10954-2905
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Country | US
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Telephone | 845-422-0615
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Fax | 845-302-8025
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 283701
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License Number State | NY
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