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General NPI Number Information
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NPI Number | 1477615664
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Entity Type | Individual
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Provider Name | JOHN EDAWARD MCELWEE RPT,CSCS
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 170 UNIVERSITY PKWY
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City | AIKEN
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State | SC
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Zip | 29801-6308
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Country | US
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Telephone | 803-649-9975
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Fax | 803-649-3357
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Provider Business Mailing Address
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Address Line | 3948 WOODVALLEY DR
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City | AIKEN
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State | SC
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Zip | 29803-9292
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5165
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License Number State | SC
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