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General NPI Number Information
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NPI Number | 1285559328
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Entity Type | Individual
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Provider Name | SAMANTHA BOYD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 801 AMSTERDAM AVE FRNT B
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City | NEW YORK
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State | NY
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Zip | 10025-5751
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Country | US
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Telephone | 212-749-1820
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Fax |
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Provider Business Mailing Address
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Address Line | 500 PLYMOUTH RD
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City | GLENSIDE
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State | PA
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Zip | 19038-2819
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 13185001
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License Number State | NY
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