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General NPI Number Information
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NPI Number | 1629750872
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Entity Type | Individual
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Provider Name | SAMANTHA CHRISTINE MARINO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1502 SPRUCE AVE
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City | WILMINGTON
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State | DE
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Zip | 19805-2148
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Country | US
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Telephone | 302-552-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LINN CT
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City | BEAR
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State | DE
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Zip | 19701-1351
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Country | US
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Telephone | 484-388-9567
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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 | P22498
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 032210
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 0014868
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License Number State | DE
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