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General NPI Number Information
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NPI Number | 1669805347
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Entity Type | Individual
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Provider Name | SCOTT STEPHENSON PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/16/2013
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 4810 BLUFFTON PKWY STE 102
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City | BLUFFTON
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State | SC
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Zip | 29910-4602
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Country | US
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Telephone | 843-837-5236
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Fax | 843-837-1004
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Provider Business Mailing Address
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Address Line | 4810 BLUFFTON PKWY STE 102
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City | BLUFFTON
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State | SC
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Zip | 29910-4602
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Country | US
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Telephone | 843-837-5236
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Fax | 843-837-1004
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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 | 10757
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License Number State | SC
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