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General NPI Number Information
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NPI Number | 1639790025
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Entity Type | Individual
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Provider Name | SAMANTHA ARSENAULT MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2799 W GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48202-2689
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Country | US
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Telephone | 313-916-2020
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Fax | 313-916-1327
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Provider Business Mailing Address
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Address Line | 7230 ORCHARD LAKE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3603
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Country | US
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Telephone | 248-847-4980
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Fax | 248-847-4959
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 4301514210
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME166906
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License Number State | FL
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