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General NPI Number Information
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NPI Number | 1003458555
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Entity Type | Organization
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Legal Business Name | THE MOVEMENT CLINIC LLC
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Dates
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Enumeration Date | 10/16/2019
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 715 DISCOVERY BLVD STE 207
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City | CEDAR PARK
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State | TX
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Zip | 78613-2288
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Country | US
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Telephone | 512-900-9910
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Fax | 512-729-7183
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Provider Business Mailing Address
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Address Line | 715 DISCOVERY BLVD STE 207
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City | CEDAR PARK
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State | TX
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Zip | 78613-2288
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Country | US
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Telephone | 512-820-6998
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Fax | 512-729-7183
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Authorized Official
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Title or Position | THERAPIST
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Name | NISHAL PATEL
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Credential | DPT
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Telephone | 512-820-6998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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