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NPI 1225667561

NPI 1225667561 : SAMANTHA FREMBGEN, D.O. PLLC : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1225667561
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAMANTHA FREMBGEN, D.O. PLLC 
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Dates
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    Enumeration Date     |    04/08/2020
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    Last Update Date     |    12/13/2025
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Provider Practice Location Address
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    Address Line         |    5650 E 22ND ST 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85711-5525
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    Country              |    US
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    Telephone            |    520-372-8575
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    Fax                  |    520-372-8576
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Provider Business Mailing Address
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    Address Line         |    5650 E 22ND ST 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85711-5525
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    Country              |    US
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    Telephone            |    520-372-8575
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    Fax                  |    520-372-8576
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Authorized Official
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    Title or Position    |    PSYCHIATRIST
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    Name                 |     SAMANTHA  FREMBGEN 
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    Credential           |    DO
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    Telephone            |    520-372-8575
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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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