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General NPI Number Information
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NPI Number | 1639331804
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Entity Type | Individual
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Provider Name | STEVE SAMANDAR MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 11835 QUEENS BLVD STE 400
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City | FOREST HILLS
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State | NY
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Zip | 11375-7211
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Country | US
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Telephone | 646-722-7610
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Fax | 347-535-3970
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Provider Business Mailing Address
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Address Line | 1055 WESTLAKES DR STE 3152
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City | BERWYN
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State | PA
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Zip | 19312-2410
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Country | US
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Telephone | 215-346-6050
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Fax | 215-220-3562
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25MA08744500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD489847C
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License Number State | PA
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