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General NPI Number Information
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NPI Number | 1700748118
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Entity Type | Organization
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Legal Business Name | FOUNDATION HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 773 STOCKBRIDGE DR
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City | FORT MILL
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State | SC
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Zip | 29708-7200
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Country | US
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Telephone | 336-277-8757
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 601791
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City | CHARLOTTE
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State | NC
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Zip | 28260-1791
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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 | MGR. REGIONAL REHAB SERVICES
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Name | ERIN ELIZABETH BALL
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Credential |
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Telephone | 336-277-8757
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #5
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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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