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General NPI Number Information
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NPI Number | 1952724999
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Entity Type | Organization
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Legal Business Name | CENTER FOR HEALING AND RESTORATIVE THERAPY
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 32 PALMETTO BAY RD STE A6
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-7303
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Country | US
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Telephone | 843-368-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PALMETTO BAY RD STE A6
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-7303
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Country | US
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Telephone | 843-368-1254
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM B GEORGE
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Credential | PT
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Telephone | 843-368-1254
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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 | 6276
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License Number State | SC
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