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General NPI Number Information
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NPI Number | 1255071205
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Entity Type | Individual
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Provider Name | JOHELEN JEAN SAMPSON DO
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1248 KINNEYS LN
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2994
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Country | US
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Telephone | 740-356-7290
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Fax | 740-356-7972
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Provider Business Mailing Address
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Address Line | 1248 KINNEY'S LANE
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City | PORTSMOUTH
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State | OH
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Zip | 45662
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Country | US
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Telephone | 740-356-7290
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017955
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License Number State | OH
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