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General NPI Number Information
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NPI Number | 1487528030
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Entity Type | Individual
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Provider Name | SAMANTHA LYNN FLETCHER
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 24448 ECORSE RD
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City | TAYLOR
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State | MI
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Zip | 48180-1642
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Country | US
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Telephone | 734-460-8456
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Fax |
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Provider Business Mailing Address
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Address Line | 6786 CHEROKEE ST
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City | TAYLOR
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State | MI
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Zip | 48180-1567
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Country | US
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Telephone | 734-460-8456
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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 | 374J00000X
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Taxonomy Name | Doula
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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