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General NPI Number Information
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NPI Number | 1285992297
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Entity Type | Individual
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Provider Name | DESIREE ELIZABETH SAMPLES DNP, RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/26/2012
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 2106 MORTHLAND DR SUITE 1084
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City | VALPARAISO
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State | IN
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Zip | 46383-5914
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Country | US
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Telephone | 219-228-1972
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Fax | 814-292-9196
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Provider Business Mailing Address
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Address Line | 2106 MORTHLAND DR
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City | VALPARAISO
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State | IN
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Zip | 46383-5914
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Country | US
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Telephone | 317-979-0733
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Fax | 814-292-9196
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28164959A
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License Number State | IN
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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 | 0002282
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 041581213
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 309023320
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71003904A
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License Number State | IN
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0004318
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License Number State | CO
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