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General NPI Number Information
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NPI Number | 1255932554
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Entity Type | Individual
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Provider Name | SAMANTHA A ALTMAN SLP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 1331 E 4TH ST
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City | OTTAWA
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State | OH
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Zip | 45875-1505
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Country | US
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Telephone | 419-523-9337
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 S STATE ROUTE 100
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City | TIFFIN
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State | OH
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Zip | 44883-9356
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Country | US
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Telephone | 419-447-7203
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | COND2020145-SP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.14340
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License Number State | OH
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