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General NPI Number Information
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NPI Number | 1699629956
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Entity Type | Individual
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Provider Name | SAMANTHA NORDBY PSYD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 4901 N JASPER PKWY
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-9518
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Country | US
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Telephone | 412-370-5044
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 N JASPER PKWY
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-9518
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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 | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PSY006037
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY006037
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License Number State | AZ
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