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General NPI Number Information
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NPI Number | 1376658542
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Entity Type | Organization
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Legal Business Name | THE SIGURD CENTER FOR ORTHO & NEURO REHAB
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 1900 SUNSET BLVD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-5932
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Country | US
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Telephone | 803-926-7204
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Fax | 803-926-7206
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Provider Business Mailing Address
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Address Line | 1311 AUGUSTA RD
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City | WEST COLUMBIA
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State | SC
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Zip | 29169-6320
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Country | US
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Telephone | 803-414-2291
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Fax | 803-926-7206
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Authorized Official
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Title or Position | OWNER/RPT
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Name | MRS. KIRSTEN JORDAN THOMPSON
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Credential | RPT
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Telephone | 803-926-7204
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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 | 3101
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3111
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3021
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2387
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2898
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2201
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2682
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3014
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License Number State | SC
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