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General NPI Number Information
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NPI Number | 1013854645
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Entity Type | Individual
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Provider Name | SAMONYCA SPILLMAN
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 802 INVERNESS PL
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City | FORT THOMAS
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State | KY
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Zip | 41075-1380
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Country | US
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Telephone | 304-416-0325
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Fax |
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Provider Business Mailing Address
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Address Line | 802 INVERNESS PL
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City | FORT THOMAS
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State | KY
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Zip | 41075-1380
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Country | US
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Telephone |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | CHW.002448
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 260339
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | OH
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