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General NPI Number Information
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NPI Number | 1821420001
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Entity Type | Individual
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Provider Name | SAMANTHA HOARD LPC
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Gender | Female
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Dates
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Enumeration Date | 07/30/2013
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 130 A ST SW
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City | MIAMI
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State | OK
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Zip | 74354-6800
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Country | US
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Telephone | 918-541-1253
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Fax |
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Provider Business Mailing Address
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Address Line | 427 FIELDCREST DR
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City | PITTSBURG
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State | KS
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Zip | 66762-6307
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Country | US
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Telephone | 620-719-6195
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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 | 2472
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 6687
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License Number State | OK
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