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NPI 1205107737

NPI 1205107737 : SAMANTHA KLEPPER PT, DPT : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1205107737
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA KLEPPER PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/13/2012
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    Last Update Date     |    01/13/2012
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Provider Practice Location Address
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    Address Line         |    4833 INTEGRIS PKWY SUITE 100
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73034-8864
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    Country              |    US
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    Telephone            |    405-657-3800
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    Fax                  |    405-657-3801
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Provider Business Mailing Address
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    Address Line         |    4833 INTEGRIS PKWY SUITE 100
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73034-8864
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    Country              |    US
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    Telephone            |    405-657-3800
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    Fax                  |    405-657-3801
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    3737
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    License Number State |    OK
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