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General NPI Number Information
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NPI Number | 1235869983
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Entity Type | Individual
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Provider Name | SAMANTHA D HYLTON PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/24/2022
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Provider Practice Location Address
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Address Line | 1025 PARK RD NW APT 2
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City | WASHINGTON
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State | DC
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Zip | 20010-2029
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Country | US
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Telephone | 202-215-8766
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 PARK RD NW APT 2
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City | WASHINGTON
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State | DC
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Zip | 20010-2029
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Country | US
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Telephone | 202-215-8766
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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 | 2022006856
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN1007093
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License Number State | DC
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