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General NPI Number Information
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NPI Number | 1083775647
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Entity Type | Organization
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Legal Business Name | ACCELERATED PHYSICAL THERAPY PA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 877 NE MAIN ST STE B
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2063
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Country | US
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Telephone | 864-962-8016
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Fax | 864-962-8116
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Provider Business Mailing Address
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Address Line | 877 NE MAIN ST STE B
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-2063
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Country | US
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Telephone | 864-962-8016
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Fax | 864-962-8116
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROGER BACHOUR
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Credential | PT
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Telephone | 864-233-4477
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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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