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General NPI Number Information
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NPI Number | 1982964524
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Entity Type | Individual
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Provider Name | FERNAND DANIEL SAMSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 9180 PINECROFT DR STE 300
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City | SHENANDOAH
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State | TX
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Zip | 77380-3880
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Country | US
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Telephone | 281-419-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 9180 PINECROFT DR STE 300
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City | SHENANDOAH
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State | TX
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Zip | 77380-3880
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Country | US
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Telephone | 281-419-4600
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 54112
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | S2669
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License Number State | TX
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