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General NPI Number Information
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NPI Number | 1598556086
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Entity Type | Individual
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Provider Name | SAMANTHA FORD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1211 UNION AVE
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City | MEMPHIS
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State | TN
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Zip | 38104-6638
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Country | US
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Telephone | 901-759-3280
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Fax |
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Provider Business Mailing Address
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Address Line | 4114 PERSIMMON HILL CV
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City | BARTLETT
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State | TN
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Zip | 38135-5175
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Country | US
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Telephone | 901-647-4772
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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 | 15897
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License Number State | TN
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