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General NPI Number Information
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NPI Number | 1790934099
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Entity Type | Individual
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Provider Name | SAMANTHA LYNNE MORIN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1056 RIVER RD
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City | MANCHESTER
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State | NH
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Zip | 03104-1958
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Country | US
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Telephone | 603-665-1562
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Fax |
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Provider Business Mailing Address
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Address Line | 79 INTERVALE RD
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City | WILTON
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State | NH
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Zip | 03086-5810
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Country | US
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Telephone | 774-239-4141
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 11130
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1483
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License Number State | NH
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