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General NPI Number Information
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NPI Number | 1487172193
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Entity Type | Individual
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Provider Name | SAMANTHA RAE ARNOLD OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 470 GARFIELD AVE
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City | EVANSVILLE
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State | WI
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Zip | 53536-1014
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Country | US
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Telephone | 218-349-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 935 WELCH ST
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City | BELLEVILLE
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State | WI
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Zip | 53508-9142
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Country | US
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Telephone | 218-349-9838
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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 | 5803
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License Number State | WI
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