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Individual
SAMANTHA BLANK
Active
Individual
SAMANTHA BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125-065333
IL
207R00000X
Internal Medicine Physician
270421
MA
207RN0300X
Nephrology Physician
036.148940
IL
207RN0300X
Nephrology Physician
Primary
DR.0065833
CO
Other
Enumeration date
06/17/2014
Last updated
08/13/2025
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