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General NPI Number Information
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NPI Number | 1437532629
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Entity Type | Individual
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Provider Name | SAMANTHA CREEGER
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Gender | Female
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 20600 EUREKA RD
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City | TAYLOR
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State | MI
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Zip | 48180-5343
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Country | US
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Telephone | 734-285-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1652 W FORT ST APT 101
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City | DETROIT
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State | MI
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Zip | 48216-1764
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Country | US
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Telephone | 304-615-5238
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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