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General NPI Number Information
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NPI Number | 1497679013
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Entity Type | Individual
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Provider Name | SAMUEL RAYMOND HOWARD RN
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Gender | Male
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 211 SAINT FRANCIS DR
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-5049
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Country | US
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Telephone | 573-331-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 109 N 3RD ST
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City | CHAFFEE
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State | MO
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Zip | 63740-1508
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Country | US
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Telephone | 573-318-8667
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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 | 163WF0300X
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Taxonomy Name | Flight Registered Nurse
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License Number | 2018023881
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License Number State | MO
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