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General NPI Number Information
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NPI Number | 1962334185
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Entity Type | Individual
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Provider Name | PRESTON ROBERT SLATE
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Gender | Male
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 1006 BANKTON CIR
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City | HANAHAN
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State | SC
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Zip | 29410-2957
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Country | US
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Telephone | 877-407-3422
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Fax |
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Provider Business Mailing Address
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Address Line | 627 BATTERY PARK CIR # 627
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City | ANDERSON
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State | SC
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Zip | 29621-2800
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Country | US
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Telephone | 864-245-4307
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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 | 13384
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License Number State | SC
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