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General NPI Number Information
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NPI Number | 1801373899
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Entity Type | Individual
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Provider Name | SAMANTHA MARGARET LUX M.S.CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 211 PRIME PT STE D
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-3334
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Country | US
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Telephone | 470-410-7323
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Fax |
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Provider Business Mailing Address
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Address Line | 147 EMERSON AVE
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City | DECATUR
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State | GA
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Zip | 30030-2946
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Country | US
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Telephone | 770-843-3624
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SLP012934
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License Number State | GA
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