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General NPI Number Information
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NPI Number | 1164393567
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Entity Type | Individual
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Provider Name | SAMUEL PRICE KRESSMAN OTD
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Gender | Male
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 6237 CAROLINA COMMONS DR
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City | INDIAN LAND
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State | SC
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Zip | 29707-6014
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Country | US
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Telephone | 803-598-3668
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Fax | 803-598-3669
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Provider Business Mailing Address
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Address Line | 1812 WHISPERING FOREST DR APT 206
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City | CHARLOTTE
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State | NC
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Zip | 28270-2348
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Country | US
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Telephone | 240-994-3057
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | SC
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