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General NPI Number Information
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NPI Number | 1720969678
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Entity Type | Individual
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Provider Name | MRS. SAMANTHA NICOLLE BECKER
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 210 SUNBURY ST
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City | MINERSVILLE
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State | PA
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Zip | 17954-1346
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Country | US
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Telephone | 570-544-9123
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Fax | 570-544-9263
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Provider Business Mailing Address
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Address Line | 100 SHENANGO AVE
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City | SHARON
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State | PA
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Zip | 16146-1503
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Country | US
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Telephone | 570-544-9123
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Fax | 570-544-9263
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP034141
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN678023
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License Number State | PA
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