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General NPI Number Information
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NPI Number | 1154294601
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Entity Type | Individual
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Provider Name | SAMANTHA ROSE PIROSKO PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 3999 RICHMOND RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-6046
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Country | US
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Telephone | 216-593-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 8 NEPAHWIN DR
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City | TIMBERLAKE
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State | OH
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Zip | 44095-1939
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.009806RX
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License Number State | OH
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