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General NPI Number Information
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NPI Number | 1427205376
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Entity Type | Individual
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Provider Name | SAMANTHA KAY PADILLA PT, DPT, CCI
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Gender | Female
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Dates
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Enumeration Date | 08/22/2008
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 4393 IMPERIAL AVE
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City | SAN DIEGO
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State | CA
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Zip | 92113-1962
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Country | US
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Telephone | 619-908-1963
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 ALTAMIRA PL
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City | SAN DIEGO
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State | CA
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Zip | 92103-1202
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Country | US
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Telephone | 513-519-3923
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 10546
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License Number State | OH
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