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General NPI Number Information
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NPI Number | 1366301855
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Entity Type | Individual
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Provider Name | SAMANTHA ELIZABETH SHERMAN
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 514 S 13TH ST
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City | DECATUR
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State | IN
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Zip | 46733-1893
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Country | US
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Telephone | 260-200-3951
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Fax |
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Provider Business Mailing Address
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Address Line | 617 ALLINGHAM ST
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City | VAN WERT
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State | OH
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Zip | 45891-1069
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Country | US
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Telephone | 419-605-3489
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | IN
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