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General NPI Number Information
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NPI Number | 1194380766
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Entity Type | Organization
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Legal Business Name | CONTINUOUS MOTION PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/08/2019
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 10 MILLENIUM DRIVE
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City | BOURNE
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State | MA
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Zip | 02532
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Country | US
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Telephone | 509-220-5040
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Fax |
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Provider Business Mailing Address
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Address Line | 6312 S DEARBORN RD
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City | SPOKANE
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State | WA
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Zip | 99223-1724
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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 | CEO/DOCTOR OF PHYSICAL THERAPY
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Name | DR. CAMERON MOORE
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Credential | DPT
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Telephone | 509-220-5040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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