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General NPI Number Information
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NPI Number | 1669489910
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Entity Type | Organization
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Legal Business Name | JAMES ISLAND PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 320 SEAPORT LN UNIT 3328
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City | MT PLEASANT
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State | SC
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Zip | 29464-3785
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Country | US
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Telephone | 843-478-5478
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WESTOVER DR # 34841
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City | SANFORD
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State | NC
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Zip | 27330-8941
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Country | US
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Telephone | 843-478-5478
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | BRANDON CRAIG DUFFIE
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Credential | DPT, ATC
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Telephone | 843-478-5478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT3683
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT5322
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License Number State | SC
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Taxonomy #3
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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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