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General NPI Number Information
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NPI Number | 1326931247
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Entity Type | Individual
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Provider Name | SAMANTHA DALES DPT
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 5930 OLD FRENCH RD
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City | ERIE
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State | PA
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Zip | 16509-3656
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Country | US
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Telephone | 814-860-7816
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Fax |
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Provider Business Mailing Address
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Address Line | 17636 INLET RD
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City | CONNEAUTVILLE
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State | PA
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Zip | 16406-1622
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Country | US
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Telephone | 814-547-9988
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT033549
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License Number State | PA
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