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General NPI Number Information
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NPI Number | 1922371392
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Entity Type | Organization
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Legal Business Name | SAMS SPECS INC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 5646 BALTIMORE NATIONAL PIKE
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City | BALTIMORE
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State | MD
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Zip | 21228-1401
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Country | US
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Telephone | 410-744-2411
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Fax | 410-744-2417
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Provider Business Mailing Address
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Address Line | 5646 BALTIMORE NATIONAL PIKE
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City | BALTIMORE
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State | MD
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Zip | 21228-1401
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Country | US
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Telephone | 410-744-2411
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Fax | 410-744-2417
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. MARC DAVID ATTMAN
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Credential | OD
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Telephone | 410-744-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | DA0741
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License Number State | MD
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