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General NPI Number Information
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NPI Number | 1154675932
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Entity Type | Organization
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Legal Business Name | MOVEMENT MATTERS REHABILITATION OT, PT, SLP, PTA PLLC
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 264 CANAL ST SUITE 6E
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City | NEW YORK
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State | NY
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Zip | 10013-3529
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Country | US
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Telephone | 212-925-8069
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Fax | 347-602-9058
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Provider Business Mailing Address
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Address Line | 264 CANAL ST SUITE 6E
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City | NEW YORK
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State | NY
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Zip | 10013-3529
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Country | US
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Telephone | 212-925-8069
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Fax | 347-602-9058
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Authorized Official
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Title or Position | OWNER
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Name | DR. HUGUE JEAN CHARLES
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Credential |
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Telephone | 212-925-8069
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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 | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | NY
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