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General NPI Number Information
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NPI Number | 1093254989
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Entity Type | Individual
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Provider Name | CHARLES SEVIER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 1845 E BROAD ST
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City | STATESVILLE
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State | NC
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Zip | 28625-4307
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Country | US
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Telephone | 980-890-3255
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412313
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City | BOSTON
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State | MA
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Zip | 02241-2313
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Country | US
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Telephone |
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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 | 1302056
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P16871
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License Number State | NC
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