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General NPI Number Information
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NPI Number | 1164245486
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Entity Type | Individual
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Provider Name | JANAY ROBINSON PTA
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Gender | Female
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 300 MIDTOWN DR
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City | BEAUFORT
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State | SC
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Zip | 29906-5200
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Country | US
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Telephone | 843-521-1747
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Fax |
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Provider Business Mailing Address
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Address Line | 2718 BLUESTEM DR
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City | BEAUFORT
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State | SC
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Zip | 29902-2824
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Country | US
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Telephone | 919-675-0934
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 6759
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License Number State | SC
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