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NPI Code Detail

MEDICARE: SAMANTHA CHASE HAMBURG

MEDICARE: SAMANTHA CHASE HAMBURG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-24-366946MO

General Provider Information

NPI Number : 1194555953
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CHASE HAMBURG
Provider Business Mailing Address
First Line : 500 W DANIELS ST
Second Line :
City : OZARK
State : MO
Zip : 65721-7322
Country : US
Telephone Number : 417-719-2057
Fax Number :
Provider Business Practice Location Address
First Line : 840 E PRIMROSE ST
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5254
Country : US
Telephone Number : 417-324-7777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 12/29/2025

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Directions to “ SAMANTHA CHASE HAMBURG ” Practice Location

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