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General NPI Number Information
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NPI Number | 1588518666
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Entity Type | Individual
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Provider Name | SAMANTHA WILLIAMS
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Gender |
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 3543 E MERIDIAN PARK LOOP STE A
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City | WASILLA
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State | AK
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Zip | 99654-7233
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Country | US
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Telephone | 907-357-4543
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Fax |
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Provider Business Mailing Address
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Address Line | 20612 ICEFALL DR
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City | EAGLE RIVER
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State | AK
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Zip | 99577-8864
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Country | US
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Telephone | 417-214-6006
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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 | 249392
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License Number State | AK
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