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General NPI Number Information
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NPI Number | 1659506517
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Entity Type | Individual
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Provider Name | SAMPSON K KYERE JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1415 ELBRIDGE PAYNE RD STE 120
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City | CHESTERFIELD
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State | MO
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Zip | 63017-8522
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Country | US
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Telephone | 314-238-5260
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Fax | 314-821-1833
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Provider Business Mailing Address
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Address Line | 4061 POWDER MILL RD SUITE 210
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City | CALVERTON
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State | MD
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Zip | 20705-3149
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Country | US
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Telephone | 202-669-8501
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Fax | 240-846-1490
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0071689
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 59997
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | D0071689
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License Number State | MD
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