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General NPI Number Information
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NPI Number | 1427096866
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Entity Type | Individual
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Provider Name | SAMUEL J NECHAMKIN D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 1005 SARA SWAMY DR
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City | SHERMAN
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State | TX
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Zip | 75090-3119
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Country | US
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Telephone | 903-868-9850
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Fax | 903-868-9851
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Provider Business Mailing Address
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Address Line | PO BOX 910848
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City | SHERMAN
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State | TX
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Zip | 75091-0848
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Country | US
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Telephone | 903-868-9850
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Fax | 903-868-9851
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17938
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License Number State | TX
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