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General NPI Number Information
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NPI Number | 1053253393
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Entity Type | Organization
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Legal Business Name | SAMAL SERVICES LLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 2551 72ND AVE S # 361
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City | FARGO
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State | ND
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Zip | 58104-7932
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Country | US
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Telephone | 570-856-6827
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Fax |
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Provider Business Mailing Address
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Address Line | 19 8TH ST S
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City | FARGO
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State | ND
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Zip | 58103-1804
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Country | US
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Telephone | 570-856-6827
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MAUREEN W MILLER
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Credential |
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Telephone | 570-856-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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