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General NPI Number Information
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NPI Number | 1225637861
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Entity Type | Organization
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Legal Business Name | MVMT PERFORMANCE LLC
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Dates
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Enumeration Date | 10/24/2020
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 133 EAYRESTOWN RD
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City | SOUTHAMPTON
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State | NJ
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Zip | 08088-9122
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Country | US
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Telephone | 856-266-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 163 TABERNACLE RD
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City | MEDFORD LAKES
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State | NJ
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Zip | 08055-2024
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Country | US
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Telephone | 856-266-4910
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTIAN TODD FILER
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Credential | DPT, ATC
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Telephone | 609-845-3585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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