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General NPI Number Information
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NPI Number | 1104354190
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Entity Type | Individual
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Provider Name | SAMANTHA N SOKOL PAC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 11511 CANTERWOOD BLVD STE 100
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City | GIG HARBOR
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State | WA
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Zip | 98332-5813
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Country | US
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Telephone | 253-382-8150
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Fax | 253-382-8155
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Provider Business Mailing Address
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Address Line | 11511 CANTERWOOD BLVD STE 100
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City | GIG HARBOR
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State | WA
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Zip | 98332-5813
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Country | US
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Telephone | 253-382-8150
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Fax | 253-382-8155
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA60763659
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA60763659
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License Number State | WA
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