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General NPI Number Information
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NPI Number | 1831798412
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Entity Type | Individual
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Provider Name | SAMANTHA ARIANNA LORIS MARRAH OT
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 21 LOWER RAGSDALE DR
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City | MONTEREY
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State | CA
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Zip | 93940-5827
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Country | US
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Telephone | 831-264-6040
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Fax | 831-375-8007
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Provider Business Mailing Address
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Address Line | PO BOX 3168
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City | SALINAS
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State | CA
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Zip | 93912-3168
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Country | US
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Telephone | 831-264-6040
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Fax | 831-375-8007
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT21367
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License Number State | CA
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