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General NPI Number Information
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NPI Number | 1447660824
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Entity Type | Organization
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Legal Business Name | RODNEY SAMAAN MD INC
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 14901 RINALDI ST STE. 335
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City | MISSION HILLS
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State | CA
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Zip | 91345-1204
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Country | US
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Telephone | 818-906-4711
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Fax | 877-991-4121
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Provider Business Mailing Address
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Address Line | 5632 VAN NUYS BLVD STE 185
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City | VAN NUYS
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State | CA
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Zip | 91401-4602
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Country | US
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Telephone | 818-906-4711
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Fax | 877-991-4121
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. RODNEY ANTON SAMAAN
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Credential |
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Telephone | 818-906-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | A119309
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License Number State | CA
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