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General NPI Number Information
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NPI Number | 1780565309
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Entity Type | Individual
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Provider Name | SARAH SAMSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1200 MONTAUK HWY
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City | OAKDALE
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State | NY
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Zip | 11769-1540
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Country | US
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Telephone | 631-567-4901
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BAYVIEW AVE
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City | BAYPORT
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State | NY
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Zip | 11705-2109
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Country | US
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Telephone | 631-848-9128
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 127942
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License Number State | NY
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