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General NPI Number Information
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NPI Number | 1023595212
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Entity Type | Individual
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Provider Name | DAVID SCOTT SCHMELTER PTA
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Gender | Male
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Dates
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Enumeration Date | 07/20/2018
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Last Update Date | 07/20/2018
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Provider Practice Location Address
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Address Line | 2300 CLEMSON RD
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City | COLUMBIA
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State | SC
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Zip | 29229-6872
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Country | US
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Telephone | 803-400-8881
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Fax |
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Provider Business Mailing Address
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Address Line | 215 SORREL TREE DR
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City | COLUMBIA
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State | SC
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Zip | 29223-4261
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Country | US
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Telephone | 803-760-8883
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3282
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License Number State | SC
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