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General NPI Number Information
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NPI Number | 1508857426
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Entity Type | Individual
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Provider Name | SAMER JUNDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 3360 BURNS RD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4323
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Country | US
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Telephone | 561-845-4263
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Fax | 561-630-7833
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Provider Business Mailing Address
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Address Line | PO BOX 31947
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33420-1947
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Country | US
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Telephone | 561-845-4263
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Fax | 561-630-7833
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME 74357
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License Number State | FL
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