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General NPI Number Information
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NPI Number | 1033063474
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Entity Type | Organization
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Legal Business Name | HARPER SPORT, LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 212 NE MAIN ST STE 14
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2318
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Country | US
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Telephone | 864-209-1377
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Fax |
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Provider Business Mailing Address
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Address Line | 12 BROOKHAVEN WAY
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-1988
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Country | US
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Telephone | 864-209-1377
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LAUREN HARPER
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Credential | RN, LBMT, BCTMB, CPT
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Telephone | 864-421-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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