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General NPI Number Information
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NPI Number | 1699570887
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Entity Type | Individual
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Provider Name | SAMANTHA MARCHANTE LCSWA
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 110 BRANCHWOOD DR STE B
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5919
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Country | US
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Telephone | 910-650-6926
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Fax |
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Provider Business Mailing Address
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Address Line | 4520 BORDELON ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-3205
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Country | US
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Telephone | 951-970-4770
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021769
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License Number State | NC
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