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General NPI Number Information
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NPI Number | 1790850550
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Entity Type | Individual
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Provider Name | SAMANTHA GAMMILL HODGES NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 10455 ORTHOPAEDIC DR
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City | NEWBURGH
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State | IN
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Zip | 47630-7955
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Country | US
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Telephone | 812-424-9291
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Fax | 812-421-2722
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Provider Business Mailing Address
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Address Line | 515 READ ST
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City | EVANSVILLE
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State | IN
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Zip | 47710-1739
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Country | US
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Telephone | 812-424-9291
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Fax | 812-421-2722
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 71001916A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 3004267
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License Number State | KY
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