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General NPI Number Information
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NPI Number | 1063793461
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Entity Type | Individual
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Provider Name | JONATHAN H GARRISON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1320 DUTCH FORK RD STE A
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City | IRMO
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State | SC
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Zip | 29063-8825
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Country | US
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Telephone | 803-314-5450
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Fax | 803-314-5451
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Provider Business Mailing Address
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Address Line | 435 GARDNERS CIR
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City | BLUFFTON
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State | SC
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Zip | 29910-5804
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Country | US
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Telephone | 845-559-8330
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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 | 5881
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License Number State | SC
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