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Individual
SAMUEL BEAN
Active
Individual
SAMUEL BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3323451
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01942947
—
NY
01
—
P019332345
BLUE CHOICE
NY
Enumeration date
06/09/2006
Last updated
05/08/2019
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