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General NPI Number Information
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NPI Number | 1063281624
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Entity Type | Individual
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Provider Name | SAMENTHA GILLES APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 12/25/2023
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 3 ARMSTRONG RD # 1053
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City | SHELTON
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State | CT
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Zip | 06484-4706
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Country | US
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Telephone | 203-913-4061
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Fax | 203-734-2363
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Provider Business Mailing Address
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Address Line | 119 OLD ANSONIA RD
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City | SEYMOUR
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State | CT
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Zip | 06483-3512
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Country | US
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Telephone |
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Fax | 203-734-2363
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 012738
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License Number State | CT
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