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General NPI Number Information
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NPI Number | 1578690814
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Entity Type | Individual
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Provider Name | SAMUEL S AMONI MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 929 WOOD STREET
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City | WILKINSBURG
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State | PA
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Zip | 15221
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Country | US
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Telephone | 412-731-9888
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Fax | 412-731-9846
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Provider Business Mailing Address
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Address Line | 741 NORTH CHURCH STREET
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City | MT PLEASANT
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State | PA
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Zip | 15666
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Country | US
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Telephone | 724-547-9810
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Fax | 724-547-9824
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD013623E
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License Number State | PA
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