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General NPI Number Information
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NPI Number | 1427716281
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Entity Type | Organization
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Legal Business Name | ALIVE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 4611 HARD SCRABBLE RD STE 115
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City | COLUMBIA
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State | SC
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Zip | 29229-9454
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Country | US
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Telephone | 803-728-1133
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Fax | 803-728-3300
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Provider Business Mailing Address
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Address Line | 3234 FOXHALL RD
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City | COLUMBIA
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State | SC
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Zip | 29204-3709
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Country | US
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Telephone | 970-672-7077
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Fax |
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Authorized Official
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Title or Position | OWNER & DIRECTOR OF REHAB
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Name | DR. GREIGORY B SEITZ
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Credential | PT, DPT
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Telephone | 803-728-1133
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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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