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General NPI Number Information
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NPI Number | 1487171898
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Entity Type | Organization
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Legal Business Name | SAMB PLLC
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Dates
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Enumeration Date | 08/25/2017
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2360 HIGHWAY 157 N
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City | MANSFIELD
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State | TX
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Zip | 76063-7540
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Country | US
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Telephone | 973-928-0521
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Fax | 817-549-2625
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Provider Business Mailing Address
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Address Line | 2360 HIGHWAY 157 N
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City | MANSFIELD
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State | TX
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Zip | 76063-7540
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Country | US
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Telephone | 817-453-2123
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Fax | 817-453-2151
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAPAN BINDAL
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Credential | MD
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Telephone | 817-453-2123
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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 | Q9296
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License Number State | TX
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