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General NPI Number Information
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NPI Number | 1831185321
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Entity Type | Organization
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Legal Business Name | SAMPSON MEDICAL SERVICES PA
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 408 FAIRVIEW ST
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City | CLINTON
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State | NC
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Zip | 28328-2312
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Country | US
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Telephone | 910-596-2400
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Fax | 910-596-2502
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Provider Business Mailing Address
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Address Line | 408 FAIRVIEW ST
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City | CLINTON
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State | NC
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Zip | 28328-2312
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Country | US
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Telephone | 910-596-2400
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Fax | 910-596-2502
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Authorized Official
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Title or Position | FNP C OWNER PRESIDENT
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Name | MRS. ANN A LEWIS
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Credential | FNP C
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Telephone | 910-596-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 200386
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NC
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