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General NPI Number Information
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NPI Number | 1548753122
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Entity Type | Individual
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Provider Name | SAMANTHA ZIEGLER OD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1340 DUCKWOOD DR STE 14
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City | EAGAN
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State | MN
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Zip | 55123-1194
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Country | US
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Telephone | 651-349-4699
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Fax | 651-452-1564
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Provider Business Mailing Address
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Address Line | 1340 DUCKWOOD DR STE 14
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City | EAGAN
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State | MN
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Zip | 55123-1194
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Country | US
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Telephone | 651-349-4699
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Fax | 651-452-1564
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3562
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number | 3562
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License Number State | MN
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