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General NPI Number Information
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NPI Number | 1689331985
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Entity Type | Organization
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Legal Business Name | OUTSHINE PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
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Dates
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Enumeration Date | 11/21/2021
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Last Update Date | 11/21/2021
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Provider Practice Location Address
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Address Line | 802 FAIRVIEW RD STE 950
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City | ASHEVILLE
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State | NC
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Zip | 28803-1171
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Country | US
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Telephone | 828-808-3704
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Fax |
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Provider Business Mailing Address
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Address Line | 233 HUFF N PUFF LN
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-7078
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Country | US
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Telephone | 828-808-3704
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SIEARA BISHOP HINSHAW
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Credential |
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Telephone | 828-808-3704
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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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