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General NPI Number Information
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NPI Number | 1912644667
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Entity Type | Individual
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Provider Name | KATHRYN HAYNE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2022
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Last Update Date | 05/15/2022
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Provider Practice Location Address
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Address Line | 710 HOPEWELL DR STE 110
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City | CHARLESTON
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State | SC
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Zip | 29492-7108
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Country | US
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Telephone | 843-972-8709
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Fax |
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Provider Business Mailing Address
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Address Line | 997 JOHNNIE DODDS BLVD APT 828
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City | MT PLEASANT
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State | SC
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Zip | 29464-6119
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Country | US
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Telephone | 919-909-9747
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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 |
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License Number State |
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