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General NPI Number Information
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NPI Number | 1629144084
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Entity Type | Individual
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Provider Name | FRANCINE SAMUELS M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 2800 MARCUS AVE STE 201
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1113
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Country | US
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Telephone | 516-622-6076
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Fax |
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Provider Business Mailing Address
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Address Line | 601 W 57TH ST APT 33Q
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City | NEW YORK
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State | NY
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Zip | 10019-1095
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Country | US
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Telephone | 551-996-8840
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Fax | 201-441-9949
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 25MA08405800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 234935
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License Number State | NY
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