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General NPI Number Information
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NPI Number | 1568463800
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Entity Type | Individual
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Provider Name | JAMES LEE SAMS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 170 ARGYLE STREET
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City | SANDUSKY
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State | MI
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Zip | 48471
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Country | US
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Telephone | 810-648-3229
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Fax | 810-648-5404
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Provider Business Mailing Address
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Address Line | PO BOX 77000
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City | DETROIT
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State | MI
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Zip | 48277-2000
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Country | US
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Telephone | 586-447-4171
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Fax | 586-447-4180
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301069270
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License Number State | MI
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