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General NPI Number Information
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NPI Number | 1659232692
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Entity Type | Individual
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Provider Name | SAMMY P DARLING III
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Gender | Male
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Dates
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Enumeration Date | 11/19/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 450 ROSEWOOD AVE STE 105
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City | CAMARILLO
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State | CA
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Zip | 93010-5914
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Country | US
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Telephone | 805-389-4781
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Fax |
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Provider Business Mailing Address
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Address Line | 21450 BURBANK BLVD APT 117
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-6660
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Country | US
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Telephone | 818-519-4279
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 54398
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License Number State | CA
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