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General NPI Number Information
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NPI Number | 1093059990
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Entity Type | Individual
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Provider Name | SAMANTHA J STOKES M.ED., LPC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 19 S PARK ST
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City | SAN ANGELO
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State | TX
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Zip | 76901-3471
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Country | US
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Telephone | 325-650-4083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1323
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City | STERLING CITY
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State | TX
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Zip | 76951-1323
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Country | US
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Telephone | 325-650-4083
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 67151
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34768
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License Number State | TX
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