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General NPI Number Information
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NPI Number | 1922629302
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Entity Type | Individual
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Provider Name | SAMANTHA KALTENBACH PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 131 LEWIS AVE
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1209
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Country | US
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Telephone | 614-539-1800
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Fax | 617-263-3376
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Provider Business Mailing Address
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Address Line | PO BOX 746747
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City | ATLANTA
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State | GA
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Zip | 30374-6747
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Country | US
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Telephone | 666-808-5058
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Fax | 374-364-1569
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.008954RX
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9115222
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License Number State | FL
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