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General NPI Number Information
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NPI Number | 1538462627
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Entity Type | Organization
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Legal Business Name | SAMARITAN HEALTH CARE
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 617 E 16TH ST
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City | PLANO
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State | TX
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Zip | 75074-5726
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Country | US
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Telephone | 214-901-3421
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Fax | 972-712-3927
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Provider Business Mailing Address
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Address Line | 4320 BURNHILL DR
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City | PLANO
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State | TX
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Zip | 75024-7321
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Country | US
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Telephone | 972-712-3927
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Fax | 972-712-3927
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHE CHEUNG
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Credential |
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Telephone | 214-901-3421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 647333
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License Number State | TX
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