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General NPI Number Information
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NPI Number | 1679412993
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Entity Type | Organization
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Legal Business Name | JOURNEY ORTHOPAEDIC INSTITUTE LLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 441 MERCANTILE PL STE 101
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City | FORT MILL
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State | SC
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Zip | 29715-2005
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Country | US
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Telephone | 803-220-4207
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Fax |
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Provider Business Mailing Address
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Address Line | 3225B REIDVILLE RD
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City | SPARTANBURG
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State | SC
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Zip | 29301-6120
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDING SURGEON, PRESIDENT, CEO
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Name | DR. JUSTIN TAYLOR SMITH
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Credential | MD
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Telephone | 678-773-0283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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