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General NPI Number Information
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NPI Number | 1235789983
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Entity Type | Organization
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Legal Business Name | MOVEMENT MASTERS LLC
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Dates
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Enumeration Date | 09/15/2019
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Last Update Date | 09/15/2019
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Provider Practice Location Address
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Address Line | 146 E 55TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10022-4635
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Country | US
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Telephone | 516-838-5825
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Fax |
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Provider Business Mailing Address
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Address Line | 27 ALAN TER
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City | JERSEY CITY
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State | NJ
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Zip | 07306-1783
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Country | US
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Telephone | 516-838-9760
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NISCHAYKUMAR K MODI
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Credential | MPA
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Telephone | 516-838-5825
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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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