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General NPI Number Information
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NPI Number | 1134893118
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Entity Type | Individual
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Provider Name | SAMANTHA JOHANNA MCMAHON-REYNOLDS AUD
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 6727 PARKER FARM DR
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City | WILMINGTON
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State | NC
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Zip | 28405-3176
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Country | US
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Telephone | 910-509-7474
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Fax | 910-509-3836
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Provider Business Mailing Address
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Address Line | 1202 MEDICAL CENTER DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7307
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 30003896
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01568
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License Number State | MD
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