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General NPI Number Information
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NPI Number | 1861855322
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Entity Type | Individual
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Provider Name | ISATU SAMURA
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Gender | Female
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 3456 QUINLAN BLVD
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-9120
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Country | US
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Telephone | 614-218-9158
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Fax | 614-218-9205
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Provider Business Mailing Address
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Address Line | 3456 QUINLAN BLVD
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City | CANAL WINCHESTER
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State | OH
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Zip | 43110-9120
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Country | US
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Telephone | 614-218-9158
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Fax | 614-218-9205
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN277269
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License Number State | OH
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