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General NPI Number Information
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NPI Number | 1952901928
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Entity Type | Individual
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Provider Name | AMY P SAMPSON CCSH, RPSGT, RST
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Gender | Female
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 11491 US HIGHWAY 431
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City | ALBERTVILLE
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State | AL
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Zip | 35950-0136
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Country | US
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Telephone | 256-894-6850
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Fax | 256-894-6851
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Provider Business Mailing Address
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Address Line | 152 HOLLY LN
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City | ALBERTVILLE
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State | AL
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Zip | 35951-5810
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Country | US
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Telephone | 256-506-9914
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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 | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 1961
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License Number State | AL
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