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Individual
DR. SAMANTHA L BRODY
Active
Individual
DR. SAMANTHA L BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC00586
OR
175F00000X
Naturopath
Primary
0880
OR
Other
Enumeration date
11/21/2006
Last updated
10/22/2007
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