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General NPI Number Information
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NPI Number | 1568423887
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Entity Type | Individual
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Provider Name | BARRY E FITCH DPT
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Gender | Male
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Dates
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Enumeration Date | 03/28/2006
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 100 JIMMY LOVE LN
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City | COLUMBIA
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State | SC
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Zip | 29212-3159
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Country | US
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Telephone | 803-731-4055
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Fax | 803-798-3335
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Provider Business Mailing Address
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Address Line | 1818 HENDERSON ST
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City | COLUMBIA
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State | SC
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Zip | 29201-2619
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Country | US
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Telephone | 803-758-2602
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Fax | 803-253-8896
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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 | 883
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License Number State | SC
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