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General NPI Number Information
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NPI Number | 1619828381
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Entity Type | Individual
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Provider Name | SAMUEL D KIDD
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Gender | Male
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 10803 FALLS RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-4518
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Country | US
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Telephone | 443-997-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S FRONT ST
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City | NEW FREEDOM
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State | PA
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Zip | 17349-7952
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R182219
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License Number State | MD
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