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General NPI Number Information
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NPI Number | 1659704351
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Entity Type | Individual
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Provider Name | SAMMANTHA ANN ABBOTT DPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 2700 DOLBEER ST
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City | EUREKA
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State | CA
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Zip | 95501-4736
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Country | US
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Telephone | 707-445-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 9601 INTERSTATE 630 EXIT 7
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City | LITTLE ROCK
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State | AR
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Zip | 72205-7202
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Country | US
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Telephone |
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 296718
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 3481
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License Number State | AR
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