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General NPI Number Information
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NPI Number | 1508863721
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Entity Type | Individual
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Provider Name | DR. SOUHEIL H SAMAHA
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Gender | Male
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Dates
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Enumeration Date | 07/01/2005
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 601 DR MARTIN LUTHER KING JR AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3619
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Country | US
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Telephone | 505-727-3170
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Fax |
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Provider Business Mailing Address
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Address Line | 230 E 52ND ST APT 2D
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City | NEW YORK
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State | NY
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Zip | 10022-6208
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Country | US
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Telephone | 212-734-4484
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Fax | 212-743-4486
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 205745
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 205745
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 205745
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License Number State | NY
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