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Individual
SAMANTHA DREW
Active
Individual
SAMANTHA DREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41047
SC
207Q00000X
Family Medicine Physician
LL41047
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL41047
BOARD OF MEDICAL EXAMINERS
SC
Enumeration date
06/21/2017
Last updated
12/23/2020
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