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General NPI Number Information
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NPI Number | 1720990385
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Entity Type | Individual
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Provider Name | CARLOS ALBERTO SAMANIEGO RN
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Gender | Male
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 2 1ST AVE
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City | ORANGEBURG
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State | NY
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Zip | 10962-1106
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Country | US
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Telephone | 845-680-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 50 CROSS ST UNIT 3
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City | BRONXVILLE
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State | NY
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Zip | 10708-1219
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Country | US
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Telephone | 561-900-4124
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 996658-01
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License Number State | NY
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