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General NPI Number Information
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NPI Number | 1245887538
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Entity Type | Individual
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Provider Name | SAMANTHA JILL SMITH
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Gender | Female
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2619 COLONIAL DR STE A
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City | HELENA
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State | MT
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Zip | 59601-4918
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Country | US
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Telephone | 406-442-1231
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Fax | 406-442-6857
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Provider Business Mailing Address
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Address Line | 2619 COLONIAL DR STE A
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City | HELENA
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State | MT
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Zip | 59601-4918
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Country | US
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Telephone | 406-442-1231
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Fax | 406-731-8876
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP14098
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 197265
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License Number State | MT
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