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NPI 1750966107

NPI 1750966107 : DAVID A SAMONS : TERRE HAUTE, IN

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General NPI Number Information
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    NPI Number           |    1750966107
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID A SAMONS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/16/2021
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    Last Update Date     |    08/12/2026
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Provider Practice Location Address
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    Address Line         |    1606 N 7TH ST 
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    City                 |    TERRE HAUTE
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    State                |    IN
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    Zip                  |    47804-2706
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    Country              |    US
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    Telephone            |    812-238-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19375 RANCH CLUB BLVD 
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    City                 |    GROVELAND
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    State                |    FL
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    Zip                  |    34736-8454
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    Country              |    US
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    Telephone            |    352-227-0622
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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        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    28264468A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    APRN11046659
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    License Number State |    FL
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