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General NPI Number Information
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NPI Number | 1043432453
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Entity Type | Individual
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Provider Name | BRANDON CRAIG DUFFIE DPT, ATC
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 10040 DORCHESTER RD STE 106&107
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8533
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Country | US
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Telephone | 843-875-4770
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Fax | 843-875-4396
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Provider Business Mailing Address
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Address Line | 500 WESTOVER DR # 34841
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City | SANFORD
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State | NC
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Zip | 27330-8941
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Country | US
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Telephone | 843-478-5478
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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 | 3683
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License Number State | SC
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