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General NPI Number Information
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NPI Number | 1053045799
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Entity Type | Organization
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Legal Business Name | EVOLVE EMS THERAPY
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Dates
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Enumeration Date | 07/10/2022
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 25 WOODS LAKE RD STE 810
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City | GREENVILLE
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State | SC
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Zip | 29607-2765
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Country | US
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Telephone | 864-640-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WOODS LAKE RD STE 810
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City | GREENVILLE
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State | SC
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Zip | 29607-2765
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Country | US
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Telephone | 864-640-4443
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WHITNEY A PEARSON
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Credential |
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Telephone | 864-640-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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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