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General NPI Number Information
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NPI Number | 1053775171
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Entity Type | Individual
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Provider Name | SAMANTHA NEALON M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 2001 INWOOD RD
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City | DALLAS
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State | TX
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Zip | 75390-3438
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Country | US
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Telephone | 469-291-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 5323 HARRY HINES BLVD STOP 7200
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City | DALLAS
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State | TX
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Zip | 75390-9087
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Country | US
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Telephone | 813-974-6580
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Fax | 813-905-9842
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | T0384
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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