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General NPI Number Information
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NPI Number | 1780260265
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Entity Type | Individual
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Provider Name | DAVID S SAMUELS NP
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Gender | Male
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Dates
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Enumeration Date | 03/23/2021
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1515 ALLEN ST
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City | SPRINGFIELD
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State | MA
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Zip | 01118-1803
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Country | US
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Telephone | 860-234-8203
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Fax |
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Provider Business Mailing Address
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Address Line | 14 APPLE HILL RD
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City | WEST HARTFORD
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State | CT
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Zip | 06117-1101
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Country | US
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Telephone | 860-234-8203
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9532
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN2332764
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License Number State | MA
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