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General NPI Number Information
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NPI Number | 1598634347
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Entity Type | Individual
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Provider Name | SAMANTHA REGINA STOBODZIAN RPH
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Gender | Female
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 100 LUNGER DR
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City | BLOOMSBURG
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State | PA
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Zip | 17815-8330
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Country | US
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Telephone | 570-389-5750
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 OAK ST
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City | NESCOPECK
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State | PA
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Zip | 18635-1672
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Country | US
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Telephone | 570-574-1226
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP459988
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License Number State | PA
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