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General NPI Number Information
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NPI Number | 1942508700
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Entity Type | Organization
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Legal Business Name | JOINTS IN MOTION PHYSICAL THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 03/03/2011
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 209 SAINT JAMES AVE STE 2B
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City | GOOSE CREEK
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State | SC
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Zip | 29445-2998
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Country | US
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Telephone | 843-793-4466
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Fax | 843-793-3786
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Provider Business Mailing Address
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Address Line | 209 SAINT JAMES AVE STE 2B
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City | GOOSE CREEK
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State | SC
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Zip | 29445-2998
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Country | US
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Telephone | 843-793-4466
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Fax | 843-793-3786
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Authorized Official
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Title or Position | OWNER
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Name | MR. SCOTT ADAM SMITH
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Credential | PT
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Telephone | 516-754-9007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 6304
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License Number State | SC
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