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General NPI Number Information
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NPI Number | 1700570819
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Entity Type | Organization
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Legal Business Name | PROSTHETIC AND ORTHOTIC ASSOCIATES OF SOUTH CAROLINA LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 11/30/2025
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Provider Practice Location Address
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Address Line | 5527 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-6130
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Country | US
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Telephone | 843-277-3919
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Fax | 843-954-0033
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Provider Business Mailing Address
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Address Line | 5527 RIVERS AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-6130
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Country | US
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Telephone | 843-277-3919
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Fax | 843-954-0033
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Authorized Official
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Title or Position | CERTIFIED PROSTHETIST ORTHOTIST
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Name | BRADLEY MICHAEL SWEATT
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Credential |
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Telephone | 843-277-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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