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General NPI Number Information
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NPI Number | 1407967391
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Entity Type | Organization
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Legal Business Name | SAMARITAN OBSTETRICS & GYNECOLOGY LTD
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 1500 S DOBSON RD SUITE 311
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City | MESA
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State | AZ
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Zip | 85202-4713
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Country | US
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Telephone | 480-969-5958
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 S DOBSON RD SUITE 311
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City | MESA
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State | AZ
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Zip | 85202-4713
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Country | US
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Telephone | 480-969-5958
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ROGER B SEYMANN
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Credential | MD
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Telephone | 480-969-5958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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