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General NPI Number Information
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NPI Number | 1972099380
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Entity Type | Individual
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Provider Name | SAMER AL-TAMEEMI
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Gender | Male
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Dates
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Enumeration Date | 07/09/2018
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 2500 SANTIAM HWY SE
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City | ALBANY
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State | OR
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Zip | 97322-5265
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Country | US
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Telephone | 541-967-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 ELK RUN DR SW
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City | ALBANY
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State | OR
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Zip | 97321-3731
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Country | US
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Telephone | 971-708-5183
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH-0016637
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License Number State | OR
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