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General NPI Number Information
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NPI Number | 1750803888
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Entity Type | Organization
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Legal Business Name | SAMERAH RAZUMAN MD PLLC
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Dates
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Enumeration Date | 07/11/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2000 HARTMAN RD STE 1
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City | FORT PIERCE
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State | FL
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Zip | 34947-4412
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Country | US
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Telephone | 772-465-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HARTMAN RD STE 1
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City | FORT PIERCE
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State | FL
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Zip | 34947-4412
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Country | US
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Telephone | 772-465-1170
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | SAMERAH RAZUMAN
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Credential | MD
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Telephone | 772-465-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 82363
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License Number State | FL
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