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General NPI Number Information
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NPI Number | 1457522146
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Entity Type | Organization
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Legal Business Name | SHUEY PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 1650 E GREENVILLE ST SUITE F
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City | ANDERSON
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State | SC
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Zip | 29621-2086
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Country | US
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Telephone | 864-261-4322
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Fax | 864-261-4323
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Provider Business Mailing Address
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Address Line | 1650 E GREENVILLE ST SUITE F
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City | ANDERSON
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State | SC
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Zip | 29621-2086
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Country | US
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Telephone | 864-261-4322
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Fax | 864-261-4323
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. SCOTT THOMAS SHUEY
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Credential | PT
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Telephone | 864-261-4322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1133
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License Number State | SC
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