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NPI 1336885839

NPI 1336885839 : SAMANTHA JOANN SAGER APRN, FNP : FORT SMITH, AR

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General NPI Number Information
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    NPI Number           |    1336885839
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA JOANN SAGER APRN, FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2022
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    Last Update Date     |    01/13/2026
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Provider Practice Location Address
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    Address Line         |    7301 ROGERS AVE 
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    City                 |    FORT SMITH
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    State                |    AR
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    Zip                  |    72903-4100
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    Country              |    US
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    Telephone            |    479-785-2229
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 776084 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60677-6084
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    Country              |    US
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    Telephone            |    479-785-2229
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    Fax                  |    479-314-3185
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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       |    207817
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    License Number State |    OK
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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       |    219566
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    License Number State |    AR
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