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General NPI Number Information
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NPI Number | 1538621248
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Entity Type | Individual
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Provider Name | AIMEE NICOLE SAMUELS
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Gender | Female
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 12505 LEBANON RD
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City | FRISCO
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State | TX
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Zip | 75035-8298
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Country | US
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Telephone | 469-764-8217
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 BRENT KNOLL DR
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City | FRISCO
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State | TX
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Zip | 75033-7219
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Country | US
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Telephone | 904-534-2824
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP140094
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License Number State | TX
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