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General NPI Number Information
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NPI Number | 1316470958
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Entity Type | Individual
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Provider Name | ALFRED THUNTY SAMURA MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2017
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 707 S ORANGE AVE
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City | SOUTH ORANGE
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State | NJ
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Zip | 07079-2698
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Country | US
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Telephone | 932-761-1140
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Fax |
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Provider Business Mailing Address
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Address Line | 506 KINGS DR
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City | CHERRY HILL
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State | NJ
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Zip | 08003-3012
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Country | US
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Telephone | 267-237-1044
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | R9681
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA10809100
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 25MA10809100
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR-0026745
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License Number State | DE
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