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General NPI Number Information
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NPI Number | 1104799774
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Entity Type | Organization
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Legal Business Name | SAMANO PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 9032 MEMORIAL PKWY SW STE A1059
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City | HUNTSVILLE
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State | AL
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Zip | 35802-3013
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Country | US
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Telephone | 256-203-4058
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Fax |
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Provider Business Mailing Address
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Address Line | 9032 MEMORIAL PKWY SW STE A1059
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City | HUNTSVILLE
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State | AL
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Zip | 35802-3013
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Country | US
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Telephone | 256-203-4058
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTIONER
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Name | HALEY RENAE SAMANO
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Credential | CRNP/PMHNP-BC
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Telephone | 256-203-4058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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