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General NPI Number Information
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NPI Number | 1326841008
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Entity Type | Individual
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Provider Name | SAMANTHA LYNN DUFFIELD FNP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 1303 N LACROSSE ST
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City | RAPID CITY
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State | SD
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Zip | 57701-6956
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Country | US
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Telephone | 605-755-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 22563 DELOR CT
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City | RAPID CITY
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State | SD
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Zip | 57702-6213
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Country | US
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Telephone | 563-419-7069
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | CP003592
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License Number State | SD
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