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General NPI Number Information
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NPI Number | 1730732892
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Entity Type | Individual
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Provider Name | SAMANTHA ESTES PAC, ATC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
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City | APO
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State | AE
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Zip | 09180-3100
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Country | US
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Telephone | 314-590-5762
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Fax |
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Provider Business Mailing Address
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Address Line | LANDSTUHL REGIONAL MEDICAL CENTER UNIT 33100
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City | APO
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State | AE
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Zip | 09180-3100
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Country | US
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Telephone | 314-590-5762
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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 | 207PS0010X
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Taxonomy Name | Sports Medicine (Emergency Medicine) Physician
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License Number | 0590262
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1213069
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2026017230
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License Number State | MO
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