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General NPI Number Information
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NPI Number | 1558194092
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Entity Type | Individual
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Provider Name | SAMANTHA BADAR PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 64 SOUTH ST
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City | AUBURN
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State | NY
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Zip | 13021-3951
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Country | US
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Telephone | 315-255-7241
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Fax |
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Provider Business Mailing Address
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Address Line | 17 LANSING ST
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City | AUBURN
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State | NY
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Zip | 13021-1983
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Country | US
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Telephone | 152-557-0113
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Fax | 315-255-7099
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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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