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Individual
MR. DOMINIQUE DANTE SAMUEL
Active
Individual
MR. DOMINIQUE DANTE SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
80625
NE
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1214261
TX
363LF0000X
Family Nurse Practitioner
F03210054
NE
Other
Enumeration date
06/16/2021
Last updated
03/26/2026
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