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General NPI Number Information
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NPI Number | 1689525081
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Entity Type | Individual
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Provider Name | LISA MARIE SAMAGAIO LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 101 W SAINT JOHN ST
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City | SPARTANBURG
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State | SC
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Zip | 29306-5179
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Country | US
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Telephone | 864-612-0421
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Fax | 864-778-2983
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Provider Business Mailing Address
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Address Line | 155 JESSE TRL
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City | GAFFNEY
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State | SC
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Zip | 29341-4040
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Country | US
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Telephone |
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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 | 18448
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License Number State | SC
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