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General NPI Number Information
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NPI Number | 1093185969
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Entity Type | Individual
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Provider Name | CARRIE HOURIGAN CPHT, LMT, PTA
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Gender | Female
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Dates
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Enumeration Date | 10/04/2015
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 4216 WILDWOOD LNDG
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7535
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Country | US
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Telephone | 843-718-4001
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Fax |
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Provider Business Mailing Address
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Address Line | 4216 WILDWOOD LNDG
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City | NORTH CHARLESTON
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State | SC
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Zip | 29420-7535
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Country | US
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Telephone | 843-718-4001
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 3790
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 9742
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License Number State | SC
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