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General NPI Number Information
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NPI Number | 1780280123
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Entity Type | Individual
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Provider Name | SAMANTHA SHYMANSKI PMHNP
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Gender | Female
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/10/2020
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Provider Practice Location Address
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Address Line | 1150 MISSION RD
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City | SAWYER
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State | MN
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Zip | 55780
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Country | US
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Telephone | 218-879-6731
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Fax |
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Provider Business Mailing Address
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Address Line | 738 BIRCH ST
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City | CLOQUET
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State | MN
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Zip | 55720-1306
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Country | US
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Telephone | 218-349-3076
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7935
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License Number State | MN
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