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General NPI Number Information
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NPI Number | 1578435277
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Entity Type | Individual
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Provider Name | DR. JADE DAVIANN SAMORA SEARLES
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Gender | Female
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 220 CHAMPION DR STE 102
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City | HAGERSTOWN
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State | MD
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Zip | 21740-6665
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Country | US
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Telephone | 301-766-0836
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Fax | 301-766-0987
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Provider Business Mailing Address
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Address Line | 51 FOX ROCK DR
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City | MYERSVILLE
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State | MD
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Zip | 21773-8415
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Country | US
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Telephone | 929-287-9294
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 30556
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License Number State | MD
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