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General NPI Number Information
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NPI Number | 1568585727
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Entity Type | Organization
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Legal Business Name | SAM E ENGLISH
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5303 PLAZA DR SUITE 103
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City | HOPEWELL
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State | VA
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Zip | 23860-7331
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Country | US
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Telephone | 804-458-5047
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Fax | 804-458-0113
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Provider Business Mailing Address
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Address Line | PO BOX 945
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City | WEST POINT
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State | VA
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Zip | 23181-0945
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Country | US
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Telephone | 804-843-3233
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Fax | 804-843-4033
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Authorized Official
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Title or Position | DENTIST
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Name | SAM E ENGLISH II
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Credential | D.D.S.
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Telephone | 804-843-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401004082
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License Number State | VA
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