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General NPI Number Information
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NPI Number | 1336472539
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Entity Type | Individual
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Provider Name | SAMANTHA FAITH ROJAS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 23215 STATE ROAD 247
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City | O BRIEN
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State | FL
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Zip | 32071-4225
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Country | US
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Telephone | 386-287-1213
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Fax | 386-222-7350
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Provider Business Mailing Address
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Address Line | 23215 STATE ROAD 247
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City | O BRIEN
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State | FL
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Zip | 32071-4225
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Country | US
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Telephone | 954-243-3128
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9289031
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9289031
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License Number State | FL
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