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General NPI Number Information
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NPI Number | 1578975454
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Entity Type | Individual
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Provider Name | JUSTIN SAMIEE RN
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Gender | Male
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Dates
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Enumeration Date | 05/27/2014
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 8350 NW 52ND TER SUITE 301, , CAC FMC, JUSTIN SAMIEE
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City | DORAL
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State | FL
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Zip | 33166-7811
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Country | US
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Telephone | 305-463-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 6269 NW 7TH AVE CAC FMC LIBERTY CITY
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City | MIAMI
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State | FL
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Zip | 33150-4394
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Country | US
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Telephone | 305-762-5233
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN9345474
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License Number State | FL
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