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NPI 1245976554

NPI 1245976554 : SAMMER HAMED PT, DPT, AT : POWELL, OH

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General NPI Number Information
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    NPI Number           |    1245976554
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    Entity Type          |    Individual 
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    Provider Name        |    SAMMER HAMED PT, DPT, AT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/10/2022
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    Last Update Date     |    08/13/2025
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Provider Practice Location Address
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    Address Line         |    10104 BREWSTER LN STE 180 
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    City                 |    POWELL
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    State                |    OH
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    Zip                  |    43065-7578
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    Country              |    US
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    Telephone            |    614-929-0463
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    340 POLARIS PKWY 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43082-7971
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    Country              |    US
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    Telephone            |    614-827-8700
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    Fax                  |    614-827-8701
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    AT006462
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT021836
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    License Number State |    OH
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