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General NPI Number Information
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NPI Number | 1962472829
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Entity Type | Individual
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Provider Name | SAM NMI SAREH MD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 333 NW 70TH AVE #116
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City | PLANTATION
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State | FL
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Zip | 33317
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Country | US
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Telephone | 954-581-6041
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Fax | 954-581-0222
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Provider Business Mailing Address
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Address Line | 1608 SE 3RD AVE FL 3
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2564
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Country | US
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Telephone | 954-581-6041
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Fax | 954-581-0222
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME91255
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License Number State | FL
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