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General NPI Number Information
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NPI Number | 1275577579
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Entity Type | Individual
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Provider Name | MOHAMED T SAMEEN MD
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Gender | Male
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3400 NESCONSET HWY STE 103
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3327
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Country | US
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Telephone | 631-675-9393
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Fax | 631-675-9391
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Provider Business Mailing Address
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Address Line | PO BOX 467
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City | CORAM
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State | NY
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Zip | 11727-0467
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Country | US
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Telephone | 631-675-9393
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Fax | 631-675-9391
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 214732
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License Number State | NY
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