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General NPI Number Information
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NPI Number | 1194987701
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Entity Type | Individual
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Provider Name | SAMUEL WILLIAM WESTMORELAND M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 03/27/2012
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Provider Practice Location Address
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Address Line | 1656 CHAMPLIN AVE
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City | NEW HARTFORD
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State | NY
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Zip | 13413-1068
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Country | US
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Telephone | 315-624-6324
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Fax |
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Provider Business Mailing Address
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Address Line | 31 FOUNTAIN ST
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City | CLINTON
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State | NY
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Zip | 13323-1703
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Country | US
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Telephone | 315-601-5876
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 257734
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License Number State | NY
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