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General NPI Number Information
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NPI Number | 1891033890
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Entity Type | Individual
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Provider Name | KAMALA J SMITH PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/25/2013
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 500 S DARGAN ST
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City | FLORENCE
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State | SC
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Zip | 29506-2548
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Country | US
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Telephone | 843-678-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 WAVERLY WOODS DR
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City | FLORENCE
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State | SC
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Zip | 29505-6868
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Country | US
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Telephone | 843-260-7424
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1192
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License Number State | SC
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