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General NPI Number Information
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NPI Number | 1144700444
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Entity Type | Individual
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Provider Name | ZACHARY TYLER DANIELS DPT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2018
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 1620 FARROW PKWY UNIT A5
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City | MYRTLE BEACH
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State | SC
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Zip | 29577-2012
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Country | US
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Telephone | 843-213-6338
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Fax | 843-353-2117
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Provider Business Mailing Address
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Address Line | PO BOX 2397
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City | PAWLEYS ISLAND
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State | SC
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Zip | 29585-2397
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Country | US
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Telephone | 843-235-0200
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Fax | 843-235-0242
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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 | 9273
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License Number State | SC
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