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General NPI Number Information
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NPI Number | 1093667636
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Entity Type | Individual
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Provider Name | SAMARRA DANIELLE FISHER MH PSS, CRM
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Gender | Female
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | PO BOX 469 550 W SPERRY STREET
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City | HEPPNER
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State | OR
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Zip | 97836-0469
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Country | US
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Telephone | 541-676-9181
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Fax | 541-628-7598
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Provider Business Mailing Address
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Address Line | PO BOX 684
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City | HEPPNER
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State | OR
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Zip | 97836-0684
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Country | US
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Telephone | 541-676-9181
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Fax | 541-628-7598
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1578501771
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License Number State | OR
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