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General NPI Number Information
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NPI Number | 1972223600
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Entity Type | Individual
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Provider Name | SAMANTHA DAILY CNS
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 13000 E 136TH ST
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City | FISHERS
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State | IN
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Zip | 46037-9478
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Country | US
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Telephone | 317-442-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 10228 HUNTERS CROSSING BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46239-8101
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Country | US
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Telephone | 317-509-5318
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 28216526A
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License Number State | IN
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