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General NPI Number Information
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NPI Number | 1316296478
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Entity Type | Individual
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Provider Name | DR. SAMANTHA WELTZ
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Gender | Female
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4701 SANGAMORE ROAD, SUITE 100N #2124
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City | BETHESDA
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State | MD
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Zip | 20816
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Country | US
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Telephone | 929-400-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 4701 SANGAMORE ROAD, SUITE 100N #2124 #2124
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City | BETHESDA
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State | MD
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Zip | 20816
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Country | US
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Telephone | 929-400-7890
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022303
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License Number State | NY
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