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Individual

EDWARD L SAMES

Active
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Individual

EDWARD L SAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28754
KY
208000000X
Pediatrics Physician
28754
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0400341
UHC
01
48274
ANTHEM
KY
05
64287543
KY
Enumeration date
10/17/2005
Last updated
07/21/2022
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