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General NPI Number Information
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NPI Number | 1417910951
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Entity Type | Individual
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Provider Name | SAMARINA AHMAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 09/13/2023
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Provider Practice Location Address
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Address Line | 3917 WEST RD SUITE A
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City | LOS ALAMOS
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State | NM
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Zip | 87544-2275
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Country | US
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Telephone | 505-661-8900
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Fax | 505-661-8916
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Provider Business Mailing Address
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Address Line | 11511 SHADOW CREEK PKWY
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City | PEARLAND
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State | TX
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Zip | 77584-7298
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Country | US
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Telephone | 713-442-0000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0063198
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License Number State | MD
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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 | U4730
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | U4730
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | D0063198
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD2010-0715
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License Number State | NM
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