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General NPI Number Information
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NPI Number | 1477406940
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Entity Type | Individual
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Provider Name | MASLAH SAMATAR
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 2245 US HIGHWAY 42 SW
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City | LONDON
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State | OH
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Zip | 43140-9191
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Country | US
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Telephone | 585-471-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 2245 US HIGHWAY 42 SW
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City | LONDON
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State | OH
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Zip | 43140-9191
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Country | US
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Telephone | 585-471-4194
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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