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General NPI Number Information
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NPI Number | 1710770276
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Entity Type | Individual
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Provider Name | SAMANTHA PAIGE CIMINO RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1350 N WEBB WAY APT S304
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City | MERIDIAN
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State | ID
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Zip | 83642-1196
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Country | US
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Telephone | 208-918-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 N WEBB WAY APT S304
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City | MERIDIAN
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State | ID
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Zip | 83642-1196
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Country | US
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Telephone | 442-257-9170
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-314150
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License Number State | ID
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