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General NPI Number Information
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NPI Number | 1245948264
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Entity Type | Organization
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Legal Business Name | PHYSIOINMOTION LLC
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 1071 E OLD CANYON CT # 203
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5915
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Country | US
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Telephone | 602-888-0819
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Fax |
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Provider Business Mailing Address
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Address Line | 1132 W ARDREY CIR
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City | FLAGSTAFF
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State | AZ
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Zip | 86005-8938
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Country | US
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Telephone | 720-323-8035
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MORGAN DUVAL
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Credential | PT, DPT, JD, COMT
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Telephone | 720-323-8035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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