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General NPI Number Information
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NPI Number | 1275696601
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Entity Type | Individual
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Provider Name | SHAHER M SAMRAH MD
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 222 N 7TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4436
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Country | US
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Telephone | 701-323-6000
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Fax | 701-323-5709
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Provider Business Mailing Address
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Address Line | 212 6TH ST APT C5
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City | CORALVILLE
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State | IA
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Zip | 52241-2535
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Country | US
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Telephone | 319-354-6467
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 51260
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 9661
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License Number State | ND
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