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General NPI Number Information
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NPI Number | 1437022126
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Entity Type | Individual
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Provider Name | SAMUEL JON LOOS
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Gender | Male
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | SUDLAGER 301
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City | VILSECK
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State | BAVARIA
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Zip | 92249
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Country | DE
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | PSC 411 BOX 561
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City | APO
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State | AE
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Zip | 09112-0006
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Country | US
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Telephone |
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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 |
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License Number State |
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