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General NPI Number Information
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NPI Number | 1972356814
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Entity Type | Organization
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Legal Business Name | LOTUS PHYSICAL THERAPY AND PELVIC HEALTH LLC
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 534 RIVER CROSSING DR STE 403
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City | FORT MILL
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State | SC
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Zip | 29715-7900
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Country | US
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Telephone | 980-748-9160
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Fax |
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Provider Business Mailing Address
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Address Line | 4074 WILD TURKEY LN
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City | INDIAN LAND
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State | SC
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Zip | 29707-0063
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Country | US
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Telephone | 980-748-9160
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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 | KHYATI AJAY MERCHANT
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Credential | PT, DPT
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Telephone | 980-748-9160
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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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