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NPI 1427857036

NPI 1427857036 : SAMANTHA NICOLE SALATINO : MANTUA, OH

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General NPI Number Information
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    NPI Number           |    1427857036
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA NICOLE SALATINO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/08/2025
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    Last Update Date     |    03/08/2025
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Provider Practice Location Address
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    Address Line         |    4707 MILL ST 
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    City                 |    MANTUA
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    State                |    OH
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    Zip                  |    44255-8934
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    Country              |    US
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    Telephone            |    330-274-2747
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9710 CLAY ST 
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    City                 |    MONTVILLE
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    State                |    OH
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    Zip                  |    44064-9804
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    Country              |    US
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    Telephone            |    440-391-0585
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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       |    PT021568
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    License Number State |    OH
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