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General NPI Number Information
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NPI Number | 1932014206
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Entity Type | Individual
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Provider Name | SAMANTHA MYXTER
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Gender | Female
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 1520 LOGAN AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-5138
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Country | US
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Telephone | 307-509-0473
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Fax |
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Provider Business Mailing Address
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Address Line | 1845 ROSEMARY CT
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City | FORT COLLINS
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State | CO
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Zip | 80528-6280
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Country | US
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Telephone | 970-342-6506
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-2604
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License Number State | WY
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