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General NPI Number Information
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NPI Number | 1639824147
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Entity Type | Organization
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Legal Business Name | SAMPSON THERAPY PLLC
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 6626 WAGNER WAY STE 200
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City | GIG HARBOR
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State | WA
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Zip | 98335-6904
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Country | US
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Telephone | 253-220-7833
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Fax |
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Provider Business Mailing Address
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Address Line | 12801 118TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98329-5681
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Country | US
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Telephone | 253-220-7833
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Fax | 253-393-5441
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEIL M SAMPSON
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Credential |
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Telephone | 253-220-7833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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