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General NPI Number Information
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NPI Number | 1679928402
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Entity Type | Individual
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Provider Name | SAMANTHA ROZARIO FNP, ACNP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1540 SUNDAY DR
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City | RALEIGH
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State | NC
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Zip | 27607-6010
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Country | US
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Telephone | 919-782-3456
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Fax | 919-783-1441
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Provider Business Mailing Address
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Address Line | 1540 SUNDAY DR
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City | RALEIGH
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State | NC
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Zip | 27607-6010
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Country | US
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Telephone | 919-782-3456
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Fax | 919-783-1441
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5019037
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5019037
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5019037
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F340399-1
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 6466935-1
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License Number State | NY
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