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General NPI Number Information
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NPI Number | 1659433647
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Entity Type | Individual
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Provider Name | SAMUEL LESTER GUILLORY MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1103 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10128
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Country | US
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Telephone | 212-860-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 200 E 89TH ST APT. 35C
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City | NEW YORK
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State | NY
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Zip | 10128-4300
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Country | US
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Telephone | 212-860-5400
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 127306
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License Number State | NY
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