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General NPI Number Information
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NPI Number | 1134761216
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Entity Type | Individual
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Provider Name | SAMANTHA J LOMMASSON CPM, DEM
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 813 S 1ST ST
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City | HAMILTON
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State | MT
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Zip | 59840-3015
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Country | US
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Telephone | 64-361-0327
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Fax | 406-540-1221
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Provider Business Mailing Address
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Address Line | 175 OLD CORVALLIS RD
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City | HAMILTON
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State | MT
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Zip | 59840-3123
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Country | US
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Telephone | 406-361-0327
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Fax | 406-540-1221
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | AHC-LIC-MID-2568
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MID-99
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License Number State | ID
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