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General NPI Number Information
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NPI Number | 1962366039
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Entity Type | Individual
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Provider Name | SAMANTHA LYNN DORCEY
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Gender | Female
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 120 W 2ND ST STE 1
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City | WAYNE
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State | NE
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Zip | 68787-1957
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Country | US
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Telephone | 531-519-6074
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Fax | 531-519-6858
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Provider Business Mailing Address
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Address Line | 3140 E ELK LN STE 600
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City | FREMONT
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State | NE
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Zip | 68025-8650
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Country | US
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Telephone | 402-936-6198
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Fax | 402-816-4402
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 116547
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License Number State | NE
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