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General NPI Number Information
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NPI Number | 1720295793
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Entity Type | Organization
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Legal Business Name | PALMETTO BONE AND JOINT
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 2704 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108
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Country | US
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Telephone | 803-321-6254
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Fax | 803-321-6259
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Provider Business Mailing Address
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Address Line | 2704 KINARD ST
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City | NEWBERRY
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State | SC
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Zip | 29108
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Country | US
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Telephone | 803-321-6254
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Fax | 803-321-6259
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM S. OWENS JR.
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Credential | MD
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Telephone | 803-321-6254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | SC
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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 | SC
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Taxonomy #3
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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 | SC
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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 | SC
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Taxonomy #5
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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 | SC
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