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NPI 1609752286

NPI 1609752286 : SAMANTHA RACHEL TORRE OTD : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1609752286
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    Entity Type          |    Individual 
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    Provider Name        |    SAMANTHA RACHEL TORRE OTD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2025
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    Last Update Date     |    08/11/2025
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Provider Practice Location Address
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    Address Line         |    2302 N 15TH AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85007-1201
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    Country              |    US
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    Telephone            |    622-362-6223
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10195 E CORRINE DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85260-4672
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    Country              |    US
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    Telephone            |    480-392-3253
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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       |    OTH-010069
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    License Number State |    AZ
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