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General NPI Number Information
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NPI Number | 1184631509
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Entity Type | Individual
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Provider Name | DAVID B. SAMADI M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 625 MADISON AVE. 2ND FL. MOUNT SINAI MEDICAL CENTER
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-241-8779
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Fax | 212-308-6107
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Provider Business Mailing Address
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Address Line | 625 MADISON AVE. 2ND FL. MOUNT SINAI MEDICAL CENTER
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-241-8779
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Fax | 212-308-6107
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 208749
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 208749-1
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License Number State | NY
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