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General NPI Number Information
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NPI Number | 1134754310
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Entity Type | Organization
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Legal Business Name | MOVE FORWARD PT, LLC
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Dates
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Enumeration Date | 03/08/2020
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Last Update Date | 05/08/2020
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Provider Practice Location Address
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Address Line | 67 GARY L MAIETTA PKWY UNIT 21
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106-7819
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Country | US
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Telephone | 207-721-6869
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2915
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City | SOUTH PORTLAND
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State | ME
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Zip | 04116-2915
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Country | US
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Telephone | 207-712-6869
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | KIMBERLY NAPPI
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Credential | DPT
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Telephone | 207-712-6869
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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 |
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License Number State |
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