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NPI Code Detail

MEDICARE: DR. SAM HYMAN ARAZIE D.M.D., M.S.D., P.A.

MEDICARE: DR. SAM HYMAN ARAZIE D.M.D., M.S.D., P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry318SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1318OTHERSCSPECIALTY LICENSE NUMBER

General Provider Information

NPI Number : 1467589226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAM HYMAN ARAZIE D.M.D., M.S.D., P.A.
Provider Business Mailing Address
First Line : 1385 2ND LOOP RD
Second Line :
City : FLORENCE
State : SC
Zip : 29505-2841
Country : US
Telephone Number : 843-669-3030
Fax Number : 843-669-8643
Provider Business Practice Location Address
First Line : 1385 2ND LOOP RD
Second Line :
City : FLORENCE
State : SC
Zip : 29505-2841
Country : US
Telephone Number : 843-669-3030
Fax Number : 843-669-8643
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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