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General NPI Number Information
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NPI Number | 1083304059
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Entity Type | Organization
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Legal Business Name | MOVE PHYSIOTHERAPY LLC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 13567 NC 50-A
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City | SURF CITY
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State | NC
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Zip | 28445
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Country | US
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Telephone | 910-777-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 123 ATKINSON RD
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City | SURF CITY
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State | NC
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Zip | 28445-6791
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Country | US
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Telephone | 910-777-8977
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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 | DR. MICHAEL RAYMOND WHITE
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Credential | DPT
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Telephone | 910-777-8977
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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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