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General NPI Number Information
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NPI Number | 1871318212
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Entity Type | Individual
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Provider Name | COLTON HAMMANS
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 777 LOWNDES HILL RD STE 227
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City | GREENVILLE
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State | SC
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Zip | 29607-2157
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Country | US
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Telephone | 864-263-4801
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Fax |
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Provider Business Mailing Address
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Address Line | 930 OLD AIRPORT RD APT 4216
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City | GREENVILLE
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State | SC
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Zip | 29607-3679
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Country | US
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Telephone | 661-699-6699
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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 | 12323
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License Number State | SC
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