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General NPI Number Information
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NPI Number | 1487814810
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Entity Type | Organization
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Legal Business Name | DAVID B. SAMUELS, D.P.M.
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 405 FREDERICK RD SUITE 154
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City | CATONSVILLE
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State | MD
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Zip | 21228-4645
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Country | US
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Telephone | 410-747-7355
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Fax | 410-747-0535
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Provider Business Mailing Address
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Address Line | 405 FREDERICK RD SUITE 154
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City | CATONSVILLE
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State | MD
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Zip | 21228-4645
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Country | US
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Telephone | 410-747-7355
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Fax | 410-747-0535
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Authorized Official
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Title or Position | OFFICE ASSISTANT
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Name | JOHN FILIPIAK
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Credential |
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Telephone | 410-747-7355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 4888030001
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License Number State | MD
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