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General NPI Number Information
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NPI Number | 1194593202
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Entity Type | Individual
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Provider Name | SAMPSON ASHU PMHNP
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Gender | Male
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 3433 W SHAW AVE
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City | FRESNO
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State | CA
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Zip | 93711-3229
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Country | US
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Telephone | 559-476-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 188 SUMMER ST
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City | DOVER FOXCROFT
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State | ME
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Zip | 04426-1129
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Country | US
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Telephone | 207-528-2285
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028951
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License Number State | CA
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