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General NPI Number Information
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NPI Number | 1598534976
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Entity Type | Individual
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Provider Name | SAMANTHA SUDANO MSN, RN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 610 OCEAN HWY W
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City | SUPPLY
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State | NC
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Zip | 28462-4048
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Country | US
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Telephone | 910-253-5885
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Fax | 910-253-5887
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Provider Business Mailing Address
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Address Line | 5309 PALOMINO ST
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City | WHITE MARSH
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State | MD
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Zip | 21162-1002
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Country | US
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Telephone | 410-446-2725
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R224043
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License Number State | MD
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