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General NPI Number Information
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NPI Number | 1902495799
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Entity Type | Organization
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Legal Business Name | SAMIN PROFESSIONAL SERVICES LLC
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 17754 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5638
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Country | US
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Telephone | 214-837-8875
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Fax | 774-209-4472
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Provider Business Mailing Address
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Address Line | 17754 PRESTON RD STE 100
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City | DALLAS
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State | TX
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Zip | 75252-5638
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Country | US
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Telephone | 214-837-8875
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Fax | 774-209-4472
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Authorized Official
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Title or Position | OWNER
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Name | INEMESET SAMPSON
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Credential | MSN, APRN, PMHNP-BC,
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Telephone | 281-683-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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