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General NPI Number Information
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NPI Number | 1508737495
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Entity Type | Individual
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Provider Name | SAMANTHA ASHLEY TULL
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Gender | Female
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 947 STATE ROUTE 34
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City | MATAWAN
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State | NJ
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Zip | 07747-3202
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Country | US
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Telephone | 732-583-7964
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Fax | 732-583-8394
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Provider Business Mailing Address
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Address Line | 947 STATE ROUTE 34
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City | MATAWAN
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State | NJ
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Zip | 07747-3202
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Country | US
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Telephone | 732-583-7964
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Fax | 732-583-8394
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI04457800
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License Number State | NJ
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