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NPI 1265197214

NPI 1265197214 : A 1 MOTION PHYSICAL THERAPY LLC : ATHENS, GA

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General NPI Number Information
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    NPI Number           |    1265197214
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    Entity Type          |    Organization 
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    Legal Business Name  |    A 1 MOTION PHYSICAL THERAPY LLC 
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Dates
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    Enumeration Date     |    11/04/2021
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    Last Update Date     |    11/04/2021
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Provider Practice Location Address
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    Address Line         |    260 COTTON CREEK DR 
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    City                 |    ATHENS
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    State                |    GA
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    Zip                  |    30605-0111
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    Country              |    US
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    Telephone            |    407-406-2267
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    260 COTTON CREEK DR 
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    City                 |    ATHENS
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    State                |    GA
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    Zip                  |    30605-0111
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    Country              |    US
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    Telephone            |    407-406-2267
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     AMR  ELZEIDY 
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    Credential           |    DPT
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    Telephone            |    407-406-2267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    320700000X
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    Taxonomy Name        |    Physical Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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