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General NPI Number Information
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NPI Number | 1912719378
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Entity Type | Individual
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Provider Name | SAMANTHA BROWN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 15 ENTERPRISE DR STE 100
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City | AUGUSTA
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State | ME
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Zip | 04330-7998
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Country | US
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Telephone | 207-621-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 47 HILL ROAD
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City | CLINTON
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State | ME
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Zip | 04927
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP251023
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License Number State | ME
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