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General NPI Number Information
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NPI Number | 1154698884
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Entity Type | Organization
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Legal Business Name | SAMS EAST INC
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 304 SHEEP DAVIS RD
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City | CONCORD
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State | NH
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Zip | 03301-5736
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Country | US
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Telephone | 914-347-1287
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Fax |
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Provider Business Mailing Address
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Address Line | 702 SW 8TH ST
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City | BENTONVILLE
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State | AR
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Zip | 72716-0445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ENROLLMENT SPECIALIST
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Name | DIANNA PAINTER
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Credential |
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Telephone | 47972771238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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