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General NPI Number Information
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NPI Number | 1376369678
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Entity Type | Organization
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Legal Business Name | FLASHPOINT PERFORMANCE LLC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 101 WOODRUFF INDUSTRIAL LN
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City | GREENVILLE
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State | SC
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Zip | 29607-4101
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Country | US
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Telephone | 864-735-0593
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Fax |
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Provider Business Mailing Address
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Address Line | 112 WAKELON DR
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City | GREER
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State | SC
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Zip | 29651-1984
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Country | US
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Telephone | 864-735-0593
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | MATTHEW P HANNAN
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Credential | DPT
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Telephone | 864-735-0593
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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