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General NPI Number Information
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NPI Number | 1922492131
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Entity Type | Individual
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Provider Name | SAMANTHA DEANS MD, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 12/19/2022
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Provider Practice Location Address
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Address Line | 1020 YOUNGS RD STE 110
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2698
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Country | US
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Telephone | 716-636-8284
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Fax | 716-829-3008
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Provider Business Mailing Address
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Address Line | 1020 YOUNGS RD STE 110
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2698
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Country | US
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Telephone | 716-636-8284
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Fax | 716-829-3008
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD466896
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 319370
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License Number State | NY
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