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General NPI Number Information
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NPI Number | 1336084227
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Entity Type | Organization
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Legal Business Name | PROCARE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 1852 NORTHSIDE DR E
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City | STATESBORO
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State | GA
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Zip | 30458-2138
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Country | US
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Telephone | 912-623-0500
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Fax | 912-623-0501
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Provider Business Mailing Address
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Address Line | 647 WYNDHAM WAY
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City | POOLER
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State | GA
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Zip | 31322-3624
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Country | US
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Telephone | 912-623-0500
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Fax | 912-623-0501
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Authorized Official
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Title or Position | OWNER
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Name | UMANG PATEL
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Credential |
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Telephone | 843-288-9440
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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 |
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License Number State |
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