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General NPI Number Information
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NPI Number | 1871065177
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Entity Type | Individual
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Provider Name | SAMANTHA SCRIPTUNAS DPT
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Gender | Female
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Dates
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Enumeration Date | 12/26/2018
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Last Update Date | 12/26/2018
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Provider Practice Location Address
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Address Line | 870 ROUTE 70 E
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City | MARLTON
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State | NJ
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Zip | 08053-5566
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Country | US
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Telephone | 856-396-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CALLISON LN
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City | VOORHEES
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State | NJ
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Zip | 08043-4111
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Country | US
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Telephone | 304-542-1467
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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 | 40QA01765600
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License Number State | NJ
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