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NPI Code Detail

MEDICARE: MARGARET SAMSON MA. QMHP

MEDICARE:   MARGARET  SAMSON  MA. QMHP
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1780336164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET SAMSON MA. QMHP
Provider Business Mailing Address
First Line : 8 EXECUTIVE DR STE 300
Second Line :
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-1345
Country : US
Telephone Number : 618-688-4782
Fax Number :
Provider Business Practice Location Address
First Line : 8 EXECUTIVE DR STE 300
Second Line :
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-1345
Country : US
Telephone Number : 618-688-4782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2022
Last Update Date : 01/26/2022

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