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General NPI Number Information
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NPI Number | 1255963765
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Entity Type | Individual
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Provider Name | SAMANTHA R CROWLEY MA,LMHCA,LCDP,CADC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1220 KINGSTOWN RD
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City | PEACE DALE
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State | RI
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Zip | 02879-7909
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Country | US
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Telephone | 401-789-9390
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Fax | 401-789-3454
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Provider Business Mailing Address
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Address Line | 1588 MAIN ST APT 18
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City | WEST WARWICK
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State | RI
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Zip | 02893-4050
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Country | US
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Telephone | 401-426-8838
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CDP00754
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License Number State | RI
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