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General NPI Number Information
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NPI Number | 1962255596
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Entity Type | Organization
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Legal Business Name | STRIVE PERFORMANCE AND MOBILITY
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/29/2024
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Provider Practice Location Address
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Address Line | 2408 ASHLEY RIVER RD UNIT G
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City | CHARLESTON
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State | SC
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Zip | 29414-4619
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Country | US
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Telephone | 614-735-2712
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 WOODCLIFF ST
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City | CHARLESTON
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State | SC
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Zip | 29414-6013
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Country | US
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Telephone | 161-473-5271
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KIRSTEN STAUFFER
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Credential | DPT
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Telephone | 614-735-2712
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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 |
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License Number State |
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