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General NPI Number Information
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NPI Number | 1588763478
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Entity Type | Organization
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Legal Business Name | DAVIS SAMEH MEEKER LABORATORIES PS
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 320 WILLOW STREET
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City | WALLA WALLA
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State | WA
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Zip | 99362
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Country | US
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Telephone | 509-529-1770
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Fax | 509-525-1326
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Provider Business Mailing Address
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Address Line | 320 WILLOW STREET
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City | WALLA WALLA
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State | WA
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Zip | 99362
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Country | US
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Telephone | 509-529-1770
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Fax | 509-525-1326
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ABBAS A SAMEH
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Credential | MD
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Telephone | 509-529-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | MTS0933
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License Number State | WA
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