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General NPI Number Information
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NPI Number | 1356114128
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Entity Type | Individual
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Provider Name | LARS SAMSON
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Gender | Male
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 1835 PARK AVE
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City | SAN JOSE
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State | CA
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Zip | 95126-1629
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Country | US
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Telephone | 408-472-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 6341 SOLANO DR
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City | SAN JOSE
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State | CA
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Zip | 95119-1554
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Country | US
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Telephone | 408-472-1327
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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