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General NPI Number Information
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NPI Number | 1700738812
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Entity Type | Individual
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Provider Name | RYAN MICHAEL SINGLETARY PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 104 MALLORY DR
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City | GOOSE CREEK
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State | SC
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Zip | 29445-6406
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Country | US
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Telephone | 843-996-1471
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Fax | 843-808-6986
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Provider Business Mailing Address
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Address Line | PO BOX 1119
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City | GOOSE CREEK
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State | SC
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Zip | 29445-1119
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Country | US
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Telephone | 843-996-1471
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Fax | 843-808-6986
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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 | 13266
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License Number State | SC
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