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General NPI Number Information
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NPI Number | 1568006690
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Entity Type | Individual
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Provider Name | THOMAS GISIN
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Gender | Male
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Dates
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Enumeration Date | 11/01/2019
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1 CLARENDON LN
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City | BLUFFTON
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State | SC
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Zip | 29909-3112
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Country | US
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Telephone | 814-937-3188
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Fax | 843-604-0269
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Provider Business Mailing Address
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Address Line | 1 CLARENDON LN
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City | BLUFFTON
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State | SC
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Zip | 29909-3112
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Country | US
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Telephone | 814-937-3188
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Fax | 843-604-0269
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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 | P22151
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License Number State | NC
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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 | 12925
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License Number State | SC
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