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General NPI Number Information
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NPI Number | 1649930579
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Entity Type | Individual
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Provider Name | CHANDLER SAMARGIA PT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 02/07/2022
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Provider Practice Location Address
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Address Line | 260 NILES CORTLAND RD NE
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City | WARREN
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State | OH
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Zip | 44484-1938
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Country | US
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Telephone | 330-980-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 2250 PASADENA AVE
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City | NEWTON FALLS
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State | OH
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Zip | 44444-1880
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Country | US
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Telephone | 330-720-9677
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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 | PT019586
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License Number State | OH
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