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General NPI Number Information
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NPI Number | 1225837719
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Entity Type | Individual
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Provider Name | SAMANTHA ADAMS
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 402 N HICKORY AVE
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City | BEL AIR
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State | MD
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Zip | 21014-3267
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Country | US
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Telephone | 410-297-7665
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Fax |
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Provider Business Mailing Address
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Address Line | 3856 DAVIS CORNER RD
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City | STREET
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State | MD
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Zip | 21154-1527
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Country | US
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Telephone | 443-655-8259
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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 | R212160
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License Number State | MD
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