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General NPI Number Information
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NPI Number | 1376068080
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Entity Type | Individual
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Provider Name | CANDACE ANN MORRIS ALTOMARE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 254 RED CEDAR ST
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City | BLUFFTON
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State | SC
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Zip | 29910-8967
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Country | US
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Telephone | 843-815-6999
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Fax |
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Provider Business Mailing Address
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Address Line | 2 KEEL PT
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City | SAVANNAH
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State | GA
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Zip | 31419-9590
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Country | US
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Telephone | 912-398-2679
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8707
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License Number State | SC
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