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General NPI Number Information
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NPI Number | 1275806374
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Entity Type | Individual
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Provider Name | SAMANTHA HART PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 4951 LONG PRAIRIE RD SUITE 110
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City | FLOWER MOUND
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State | TX
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Zip | 75028-2707
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Country | US
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Telephone | 972-410-5777
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Fax | 972-410-5778
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Provider Business Mailing Address
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Address Line | 1524 RUSTIC TIMBERS LN
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1433
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Country | US
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Telephone | 972-998-2123
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1214875
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License Number State | TX
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