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General NPI Number Information
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NPI Number | 1003781899
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Entity Type | Individual
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Provider Name | NIA KENYA
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Gender | Female
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 115 PELHAM RD STE 12
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City | GREENVILLE
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State | SC
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Zip | 29615-2155
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Country | US
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Telephone | 864-558-7346
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Fax |
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Provider Business Mailing Address
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Address Line | 180 WOODRUFF RD APT 2208
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City | GREENVILLE
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State | SC
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Zip | 29607-3869
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Country | US
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Telephone | 864-553-0444
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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 |
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License Number State |
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