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General NPI Number Information
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NPI Number | 1396898771
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Entity Type | Organization
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Legal Business Name | SAMUEL F BOLES MD PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 127 LUBRANO DRIVE SUITE 301
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7560
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Country | US
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Telephone | 410-224-2010
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Fax | 410-224-3044
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Provider Business Mailing Address
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Address Line | PO BOX 15659
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City | BELFAST
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State | ME
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Zip | 04915-4051
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Country | US
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Telephone | 410-224-2010
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Fax | 410-224-3044
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMUEL F BOLES
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Credential | MD
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Telephone | 410-224-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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