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Individual
SAMANTHA SMITH
Active
Individual
SAMANTHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1891449443
IA
207Q00000X
Family Medicine Physician
A167083
IA
363L00000X
Nurse Practitioner
Primary
A167083
IA
Other
Enumeration date
02/11/2022
Last updated
08/24/2025
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