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General NPI Number Information
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NPI Number | 1265620306
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Entity Type | Organization
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Legal Business Name | SAM PARK BILLER
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line |
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City |
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State |
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Zip |
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Country | US
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line |
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City |
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State |
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Zip |
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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 | BILLER
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Name | ROBERTO A MARINI
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Credential |
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Telephone | 562-964-9821
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