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General NPI Number Information
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NPI Number | 1942546148
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Entity Type | Organization
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Legal Business Name | FREDERICK K. SAMSEL, M.D., P.A.
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 100 KINGS HWY
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City | MILFORD
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State | DE
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Zip | 19963-1812
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Country | US
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Telephone | 302-422-4666
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Fax | 302-422-6064
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY
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City | MILFORD
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State | DE
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Zip | 19963-1812
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Country | US
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Telephone | 302-422-4666
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Fax | 302-422-6064
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KAY STRADER
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Credential |
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Telephone | 302-422-4666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C10002610
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License Number State | DE
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