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General NPI Number Information
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NPI Number | 1871205591
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Entity Type | Individual
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Provider Name | SAMANTHA L MEHAFFEY
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Gender | Female
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 8992 E D AVE
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City | RICHLAND
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State | MI
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Zip | 49083-8442
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Country | US
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Telephone | 405-922-4233
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Fax |
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Provider Business Mailing Address
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Address Line | 13220 BANFIELD RD
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City | BATTLE CREEK
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State | MI
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Zip | 49017-9259
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Country | US
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Telephone | 405-922-4233
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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