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General NPI Number Information
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NPI Number | 1154144343
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Entity Type | Organization
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Legal Business Name | MOVEWELL HEALTH LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 6170 LEE HWY
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2931
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Country | US
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Telephone | 423-855-0091
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Fax |
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Provider Business Mailing Address
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Address Line | 543 E 18TH ST
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City | CHATTANOOGA
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State | TN
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Zip | 37408-2112
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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 | CO-MEMBER
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Name | CAMERON GILFILLAN
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Credential | PT, DPT, OCS
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Telephone | 615-497-2665
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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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