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General NPI Number Information
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NPI Number | 1235400649
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Entity Type | Organization
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Legal Business Name | FAMILY CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/17/2012
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 1321 OLD GANTT MILL RD
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City | ANDERSON
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State | SC
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Zip | 29625-6536
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Country | US
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Telephone | 864-780-4040
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Fax | 864-780-4030
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Provider Business Mailing Address
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Address Line | 1321 OLD GANTT MILL RD
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City | ANDERSON
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State | SC
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Zip | 29625-6536
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Country | US
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Telephone | 864-780-4040
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Fax | 864-780-4030
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Authorized Official
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Title or Position | OWNER / PHYSICAL THERAPIST
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Name | MRS. CARRIE STILES
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Credential | P.T.
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Telephone | 864-780-4040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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