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General NPI Number Information
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NPI Number | 1508236225
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Entity Type | Individual
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Provider Name | SAMANTHA THIRY NP
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Gender | Female
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3944 RANCH ROAD 620 S STE 100
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City | AUSTIN
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State | TX
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Zip | 78738-7000
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Country | US
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Telephone | 512-713-1206
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Fax | 512-287-5576
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Provider Business Mailing Address
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Address Line | 3944 RANCH ROAD 620 S BLDG 8 STE 100
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City | AUSTIN
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State | TX
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Zip | 78738-7000
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Country | US
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Telephone | 512-713-1206
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Fax | 512-287-5576
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP132730
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License Number State | TX
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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 | ARNP9315726
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License Number State | FL
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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 | AP132730
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License Number State | TX
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