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General NPI Number Information
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NPI Number | 1558041103
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Entity Type | Individual
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Provider Name | HAIDY SAMAAN
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Gender | Female
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1671 W KATELLA AVE STE 245
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City | ANAHEIM
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State | CA
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Zip | 92802-3053
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Country | US
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Telephone | 949-549-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 289 S OWENS DR
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City | ANAHEIM
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State | CA
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Zip | 92808-1327
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Country | US
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Telephone | 949-549-1500
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Fax |
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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