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General NPI Number Information
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NPI Number | 1194694612
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Entity Type | Organization
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Legal Business Name | SAMARA PRIMARY CARE CLINIC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 2513 SEMORAN BLVD
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City | APOPKA
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State | FL
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Zip | 32703-5835
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Country | US
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Telephone | 321-200-4489
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Fax | 407-554-5860
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Provider Business Mailing Address
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Address Line | 1039 ROCK CREEK ST
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City | APOPKA
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State | FL
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Zip | 32712-5700
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Country | US
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Telephone | 321-200-4489
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Fax | 407-554-5860
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. JUDITH FAUSTIN-GABRIEL
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Credential | MD
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Telephone | 321-200-4489
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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 |
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License Number State |
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