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General NPI Number Information
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NPI Number | 1043181555
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Entity Type | Individual
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Provider Name | MRS. PAYTON EMMAKAY SAMPSON
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Gender | Female
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Dates
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Enumeration Date | 09/16/2025
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 3206 RAASCH DR STE 300
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City | NORFOLK
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State | NE
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Zip | 68701-3175
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Country | US
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Telephone | 402-379-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 57191 843 RD
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City | PILGER
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State | NE
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Zip | 68768-4064
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Country | US
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Telephone | 402-833-8876
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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 | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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