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General NPI Number Information
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NPI Number | 1699551069
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Entity Type | Individual
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Provider Name | SAMANTHA EDDINGER MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | 1250 S CEDAR CREST BLVD STE 110
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City | ALLENTOWN
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State | PA
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Zip | 18103-6224
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Country | US
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Telephone | 610-402-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 628 N READING AVE
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City | BOYERTOWN
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State | PA
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Zip | 19512-8499
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RTO000231
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License Number State | PA
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