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General NPI Number Information
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NPI Number | 1467124578
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Entity Type | Individual
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Provider Name | JEREMY BRYAN DPT
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Gender | Male
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Dates
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Enumeration Date | 09/28/2021
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 157 HOME AVE
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City | DARLINGTON
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State | SC
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Zip | 29532-7625
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Country | US
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Telephone | 843-393-2867
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Fax |
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Provider Business Mailing Address
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Address Line | 10133 SHERRILL BLVD STE 200
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City | KNOXVILLE
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State | TN
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Zip | 37932-3347
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Country | US
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Telephone | 865-531-2204
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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 | PT37509
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License Number State | FL
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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 | 2305215729
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License Number State | VA
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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 | P23138
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017480
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH11808
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | T-W0049-3
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License Number State | KS
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT032334
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License Number State | PA
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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 | PT11400
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License Number State | SC
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