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General NPI Number Information
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NPI Number | 1487109575
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Entity Type | Organization
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Legal Business Name | SAMTO MEDICAL SERVICES
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 2500 WRANGLE HILL RD STE 205
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City | BEAR
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State | DE
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Zip | 19701-3838
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Country | US
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Telephone | 302-357-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PRIMROSE DR
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City | BEAR
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State | DE
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Zip | 19701-6317
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Country | US
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Telephone | 302-357-4131
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. UTONNE SONA MUKWELE
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Credential | FNP-C, MBA
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Telephone | 302-357-4131
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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 |
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License Number State |
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