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General NPI Number Information
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NPI Number | 1851105092
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Entity Type | Individual
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Provider Name | EVAN MICHAEL RAPP PT, DPT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3300 POINSETT HWY
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City | GREENVILLE
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State | SC
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Zip | 29613-0002
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Country | US
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Telephone | 864-241-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 503 E STONE AVE APT 127
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City | GREENVILLE
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State | SC
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Zip | 29601-2272
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Country | US
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Telephone | 919-671-7828
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Fax |
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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 | .12736
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License Number State | SC
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