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General NPI Number Information
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NPI Number | 1265279988
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Entity Type | Individual
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Provider Name | SAMANTHA CAREY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2024
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 40 TURKEY HILL RD
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9408
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Country | US
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Telephone | 413-323-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 258 EAST ST
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City | SOUTH HADLEY
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State | MA
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Zip | 01075-2118
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Country | US
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Telephone | 413-537-0312
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA100829
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License Number State | MA
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