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General NPI Number Information
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NPI Number | 1649785270
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Entity Type | Individual
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Provider Name | JAUNITHA SIMMONS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2017
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 673 BELLS HWY
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City | WALTERBORO
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State | SC
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Zip | 29488-2705
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Country | US
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Telephone | 843-782-3000
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Fax | 843-376-6105
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Provider Business Mailing Address
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Address Line | 673 BELLS HWY
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City | WALTERBORO
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State | SC
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Zip | 29488-2705
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Country | US
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Telephone | 843-782-3000
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Fax | 843-376-6105
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 8864
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License Number State | SC
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