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NPI 1417848250

NPI 1417848250 : GREGORY RAPET : COLUMBIA, SC

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General NPI Number Information
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    NPI Number           |    1417848250
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    Entity Type          |    Individual 
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    Provider Name        |    GREGORY RAPET
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/10/2025
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    150 HIGHLAND CENTER DR STE B 
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    City                 |    COLUMBIA
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    State                |    SC
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    Zip                  |    29203-9247
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    Country              |    US
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    Telephone            |    803-699-9775
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    655 S WILLOW ST STE 128 
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    City                 |    MANCHESTER
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    State                |    NH
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    Zip                  |    03103-5723
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    Country              |    US
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    Telephone            |    
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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        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    CP046535T
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    License Number State |    SC
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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       |    PTL20617
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    License Number State |    CO
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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       |    CP049849T
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    License Number State |    TX
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