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General NPI Number Information
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NPI Number | 1811629942
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Entity Type | Individual
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Provider Name | SAMUEL MASTEL DO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 17 DAVIS BLVD STE 308
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City | TAMPA
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State | FL
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Zip | 33606-3438
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Country | US
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Telephone | 813-259-0670
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 WATER ST UNIT 2122
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City | TAMPA
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State | FL
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Zip | 33602-5536
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Country | US
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Telephone | 701-220-3479
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | SL1885
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | DO3835
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207QS1201X
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Taxonomy Name | Sleep Medicine (Family Medicine) Physician
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License Number | UO10409
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License Number State | FL
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