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General NPI Number Information
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NPI Number | 1174402689
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Entity Type | Organization
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Legal Business Name | SAMSARA HEALTHCARE PLLC
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 6090 SURETY DR STE 401C
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City | EL PASO
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State | TX
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Zip | 79905-2060
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Country | US
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Telephone | 915-979-7402
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Fax | 915-300-1947
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Provider Business Mailing Address
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Address Line | 6090 SURETY DR STE 400
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City | EL PASO
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State | TX
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Zip | 79905-2060
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Country | US
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Telephone | 915-979-7402
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Fax | 915-300-1947
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CRISTINA MAESE
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Credential |
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Telephone | 915-979-7402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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