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General NPI Number Information
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NPI Number | 1992523849
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Entity Type | Individual
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Provider Name | ANN GORDON FINNEY MINK DPT
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Gender | Female
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 1304 ERCKMANN DR STE C
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City | MT PLEASANT
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State | SC
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Zip | 29464-5536
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Country | US
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Telephone | 843-971-7668
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Fax |
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Provider Business Mailing Address
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Address Line | 5111 N RHETT AVE
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City | NORTH CHARLESTON
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State | SC
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Zip | 29405-4219
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Country | US
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Telephone | 843-804-9479
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Fax | 843-804-9020
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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 | 12451
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016076
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License Number State | GA
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