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General NPI Number Information
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NPI Number | 1346853249
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Entity Type | Individual
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Provider Name | SAMANTHA PAIGE CONWAY M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 325 SW FRAZIER AVE
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City | TOPEKA
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State | KS
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Zip | 66606-1999
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Country | US
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Telephone | 785-232-5005
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Fax | 888-972-5038
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Provider Business Mailing Address
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Address Line | 911 MOSSBRIDGE CT
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2468
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 03370
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License Number State | KS
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