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General NPI Number Information
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NPI Number | 1518583467
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Entity Type | Individual
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Provider Name | SAMANTHA DALY LMSW
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Gender | Female
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 2535 E MOUNT HOPE AVE
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City | LANSING
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State | MI
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Zip | 48910-1913
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Country | US
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Telephone | 517-648-9376
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E GRAND RIVER AVE
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City | LANSING
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State | MI
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Zip | 48912-4314
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Country | US
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Telephone | 231-330-5315
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801120521
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License Number State | MI
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