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General NPI Number Information
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NPI Number | 1750997045
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Entity Type | Individual
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Provider Name | SAMANTHA FIELDS LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 398 BARNETT DR
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City | BATESVILLE
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State | AR
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Zip | 72501-8994
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Country | US
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Telephone | 870-793-6774
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Fax | 870-793-1997
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Provider Business Mailing Address
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Address Line | 398 BARNETT DR
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City | BATESVILLE
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State | AR
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Zip | 72501-8994
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Country | US
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Telephone | 870-793-6774
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Fax | 870-793-1997
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9702-C
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License Number State | AR
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