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General NPI Number Information
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NPI Number | 1013312354
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Entity Type | Individual
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Provider Name | JILL SAMPSON DPT
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Gender | Female
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 528 HOWELL RD STE 14
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City | GREENVILLE
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State | SC
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Zip | 29615-2050
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Country | US
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Telephone | 864-210-4164
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Fax |
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Provider Business Mailing Address
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Address Line | 728 ARNICA DR
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City | DUNCAN
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State | SC
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Zip | 29334-8202
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Country | US
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Telephone | 864-415-2406
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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 | 15267
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7965
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License Number State | SC
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