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General NPI Number Information
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NPI Number | 1366254872
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Entity Type | Individual
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Provider Name | SAMANTHA OLSON OTR
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Gender | Female
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 3329 E BELL RD # A2
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City | PHOENIX
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State | AZ
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Zip | 85032-2756
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Country | US
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Telephone | 602-258-4788
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Fax |
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Provider Business Mailing Address
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Address Line | 9711 E MOUNTAIN VIEW RD UNIT 1537
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5275
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Country | US
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Telephone | 425-442-3110
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OTH-009915
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License Number State | AZ
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