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General NPI Number Information
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NPI Number | 1003708892
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Entity Type | Organization
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Legal Business Name | UNITY MOVE PHYSICAL THERAPY WELLNESS PLLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 4000 MEDICAL CENTER DR STE 108
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City | FAYETTEVILLE
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State | NY
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Zip | 13066
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Country | US
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Telephone | 315-961-6007
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Fax | 315-203-1212
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Provider Business Mailing Address
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Address Line | 7282 DABNEY LN
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1823
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOKKYU KIM
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Credential | PT, PHD
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Telephone | 213-400-3279
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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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