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General NPI Number Information
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NPI Number | 1437886876
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Entity Type | Individual
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Provider Name | SAMANTHA E SIMMS PT
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Gender | Female
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 7753 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45255-4203
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Country | US
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Telephone | 513-232-2663
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Fax | 859-817-7848
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Provider Business Mailing Address
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Address Line | 1710 BRUCE AVE UNIT 301
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City | CINCINNATI
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State | OH
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Zip | 45223-2199
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Country | US
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Telephone | 502-554-1234
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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 | PT020035
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License Number State | OH
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