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General NPI Number Information
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NPI Number | 1356099014
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Entity Type | Organization
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Legal Business Name | SAMAR HEALTHCARE
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Dates
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Enumeration Date | 03/12/2022
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Last Update Date | 03/12/2022
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Provider Practice Location Address
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Address Line | 1122 CAMBRIDGE SQ STE D
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City | ALPHARETTA
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State | GA
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Zip | 30009-1858
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Country | US
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Telephone | 678-904-2450
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Fax | 678-904-2320
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Provider Business Mailing Address
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Address Line | PO BOX 801351
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City | ACWORTH
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State | GA
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Zip | 30101-1215
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Country | US
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Telephone | 770-827-5291
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MRS. MARY W MURANJA
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Credential | PMHNP-BC, NP-C
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Telephone | 770-827-5291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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