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General NPI Number Information
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NPI Number | 1932548344
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Entity Type | Individual
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Provider Name | SAMEER JAIN M.D
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Gender | Male
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Dates
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Enumeration Date | 06/19/2013
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 408 OFFICE PARK DR STE 3
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City | BRYANT
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State | AR
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Zip | 72022-7536
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Country | US
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Telephone | 501-553-0000
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Fax | 501-600-4781
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Provider Business Mailing Address
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Address Line | 408 OFFICE PARK DR STE 3
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City | BRYANT
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State | AR
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Zip | 72022-7536
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Country | US
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Telephone | 501-553-0000
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Fax | 501-600-4781
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD461254
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | E11173
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License Number State | AR
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