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General NPI Number Information
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NPI Number | 1649136136
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Entity Type | Organization
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Legal Business Name | SAMIMI OMS, PLLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 701 E COMMERCIAL BLVD FL 1
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City | OAKLAND PARK
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State | FL
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Zip | 33334-3392
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Country | US
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Telephone | 954-772-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 401 SW 1ST AVE APT 2101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-4544
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Country | US
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Telephone | 678-230-3187
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Fax |
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Authorized Official
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Title or Position | ORAL & MAXILLOFACIAL SURGEON
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Name | DR. SOROUSH SAMIMI
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Credential | DMD, MS
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Telephone | 678-230-3187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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