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General NPI Number Information
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NPI Number | 1285710137
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Entity Type | Individual
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Provider Name | JOY M SAMANICH MD
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 01/17/2020
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Provider Practice Location Address
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Address Line | 1 HUNTER AVE STE A
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City | ARMONK
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State | NY
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Zip | 10504-2025
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Country | US
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Telephone | 914-236-0336
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Fax | 914-940-0330
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Provider Business Mailing Address
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Address Line | 1 HUNTER AVE STE A
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City | ARMONK
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State | NY
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Zip | 10504-2025
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Country | US
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Telephone | 914-236-0336
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Fax | 914-940-0330
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 235588
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207SG0201X
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Taxonomy Name | Clinical Genetics (M.D.) Physician
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License Number | 235588
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License Number State | NY
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