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1184611964
SAMUEL MARK SHOR
RESTON, VA
NPI
1184611964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 101036333)
Enumeration Date
2005-10-05
Last Update Date
2012-01-05
Business Address
-- SAMUEL MARK SHOR M.D.
1860 TOWN CENTER DR SUITE 230
RESTON, VA 20190-5896
Phone number: 703-709-1119
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Mailing Address
-- SAMUEL MARK SHOR M.D.
1860 TOWN CENTER DR SUITE 230
RESTON, VA 20190-5896
Phone number: 703-709-1119
Copy
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