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General NPI Number Information
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NPI Number | 1659241602
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Entity Type | Individual
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Provider Name | SAMANTHA ROSE DELOY LSW
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Gender | Female
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Dates
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Enumeration Date | 11/06/2025
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 746 CUMBERLAND ST
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City | LEBANON
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State | PA
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Zip | 17042-5236
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Country | US
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Telephone | 717-304-2631
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Fax | 570-581-8089
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Provider Business Mailing Address
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Address Line | 314 W QUEEN ST APT 2
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City | ANNVILLE
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State | PA
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Zip | 17003-1725
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Country | US
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Telephone | 605-366-9358
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SW143171
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License Number State | PA
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