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General NPI Number Information
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NPI Number | 1669010179
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Entity Type | Organization
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Legal Business Name | SAMANTHA SYMONS MD PLLC
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Dates
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Enumeration Date | 12/16/2019
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Last Update Date | 08/03/2022
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Provider Practice Location Address
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Address Line | 510 HEARN ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78703-4516
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Country | US
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Telephone | 512-521-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 510 HEARN ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78703-4516
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Country | US
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Telephone | 512-521-0868
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMANTHA SYMONS
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Credential | MD
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Telephone | 512-585-1217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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