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General NPI Number Information
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NPI Number | 1699632729
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Entity Type | Individual
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Provider Name | SAMIRA LATAVIA BAYLOR
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2100 ROANOKE ST STE 1
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-2512
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Country | US
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Telephone | 540-322-3040
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Fax | 540-394-7105
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Provider Business Mailing Address
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Address Line | 100 NEW RIVER DR APT H
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City | RADFORD
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State | VA
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Zip | 24141-1867
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Country | US
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Telephone | 540-250-5150
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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 |
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License Number State | VA
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