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General NPI Number Information
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NPI Number | 1639957715
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Entity Type | Organization
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Legal Business Name | ADAPT PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 770 PELHAM RD
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City | GREENVILLE
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State | SC
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Zip | 29615-3200
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Country | US
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Telephone | 404-775-7933
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Fax |
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Provider Business Mailing Address
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Address Line | 103 ASHFORD AVE
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City | GREENVILLE
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State | SC
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Zip | 29609-4906
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Country | US
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Telephone | 404-775-7933
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MADISON HEDGES
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Credential | DPT
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Telephone | 404-775-7933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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