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General NPI Number Information
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NPI Number | 1447251913
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Entity Type | Individual
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Provider Name | RICHARD T. E. SAMSON DPM
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 04/07/2015
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Provider Practice Location Address
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Address Line | 25 FIRST PARK DR SUITE C
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City | OAKLAND
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State | ME
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Zip | 04963-5361
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Country | US
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Telephone | 207-872-6010
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Fax | 207-872-4566
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Provider Business Mailing Address
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Address Line | 25 FIRST PARK DR SUITE C
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City | OAKLAND
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State | ME
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Zip | 04963-5361
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Country | US
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Telephone | 207-872-6010
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Fax | 207-872-4566
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | POD1010
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License Number State | ME
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