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General NPI Number Information
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NPI Number | 1043015878
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Entity Type | Organization
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Legal Business Name | TRIFIT PERFORMANCE
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 5347 SUNSET BLVD
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City | LEXINGTON
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State | SC
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Zip | 29072-6662
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Country | US
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Telephone | 803-353-5619
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Fax | 865-572-4078
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Provider Business Mailing Address
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Address Line | 117 CONGAREE MILL LN
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5357
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Country | US
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Telephone | 704-898-5570
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Fax | 864-572-4078
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | MITCHELL HANKS
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Credential | PT
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Telephone | 704-898-5570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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