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General NPI Number Information
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NPI Number | 1811856123
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Entity Type | Individual
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Provider Name | SAMUEL HART PHARMD, BCPS, BCCCP
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Gender | Male
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 4500 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11355-2205
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Country | US
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Telephone | 718-670-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 HUNTER ST APT 2310W
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4577
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Country | US
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Telephone |
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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 | 1835C0205X
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Taxonomy Name | Critical Care Pharmacist
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License Number | 069221
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License Number State | NY
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