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General NPI Number Information
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NPI Number | 1467071217
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Entity Type | Individual
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Provider Name | BRIAN SAMUEL MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2020
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 240 CETRONIA RD STE N&205N
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City | ALLENTOWN
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State | PA
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Zip | 18104-9263
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Country | US
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Telephone | 484-426-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 503 FELLOWSHIP RD APT 204
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City | MOUNT LAUREL
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State | NJ
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Zip | 08054-3425
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA11628700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | MD486458
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | MD456458
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD486458
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License Number State | PA
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