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General NPI Number Information
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NPI Number | 1033945142
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Entity Type | Organization
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Legal Business Name | SAMANTHA GUMUL PLLC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 425 W HURON ST
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City | MILFORD
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State | MI
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Zip | 48381-2242
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Country | US
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Telephone | 734-335-1935
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Fax |
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Provider Business Mailing Address
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Address Line | 3451 AMBER OAKS DR
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City | HOWELL
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State | MI
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Zip | 48855-7102
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Country | US
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Telephone | 734-612-6295
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | SAMANTHA N GUMUL
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Credential | LMSW-C
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Telephone | 734-612-6295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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