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General NPI Number Information
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NPI Number | 1497390892
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Entity Type | Individual
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Provider Name | SAMANTHA CACERES FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/10/2019
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3458 NEELY RD
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City | JB MDL
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State | NJ
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Zip | 08641-5312
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Country | US
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Telephone | 866-377-2778
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Fax | 609-754-9249
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Provider Business Mailing Address
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Address Line | 3458 NEELY RD
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City | JB MDL
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State | NJ
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Zip | 08641-5312
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Country | US
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Telephone | 866-377-2778
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Fax | 609-754-9249
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95097433
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95018825
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ15192000
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License Number State | NJ
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