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General NPI Number Information
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NPI Number | 1679997746
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Entity Type | Individual
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Provider Name | OLIVIA DANIELLE SAMSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/10/2014
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1400 NW 12TH AVE STE 2
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-243-8036
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Fax |
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Provider Business Mailing Address
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Address Line | 2215 SW 123RD CT
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City | MIAMI
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State | FL
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Zip | 33175-7725
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Country | US
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Telephone | 305-546-6184
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9267820
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9267820
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License Number State | FL
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