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General NPI Number Information
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NPI Number | 1184323362
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Entity Type | Organization
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Legal Business Name | THE HUMAN MOVEMENT REHAB AND TRAINING, LLC
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 6550 CAMP BOWIE BLVD STE 121
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City | FORT WORTH
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State | TX
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Zip | 76116-4353
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Country | US
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Telephone | 972-213-5285
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 SHAGBARK ST
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City | FORT WORTH
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State | TX
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Zip | 76137-1430
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Country | US
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Telephone | 972-213-5285
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Fax | 682-990-2601
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA WALTERS
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Credential | PT, DPT
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Telephone | 972-213-5285
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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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