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General NPI Number Information
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NPI Number | 1437038965
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Entity Type | Individual
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Provider Name | JARED HRYNIEWICKI
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Gender | Male
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1417 WILKESBORO HWY
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City | STATESVILLE
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State | NC
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Zip | 28625-3262
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Country | US
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Telephone | 704-450-5563
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Fax |
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Provider Business Mailing Address
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Address Line | 18732 COACHMANS TRCE
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City | CORNELIUS
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State | NC
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Zip | 28031-8122
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Country | US
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Telephone | 727-564-6804
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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 | P24238
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License Number State | NC
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