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General NPI Number Information
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NPI Number | 1285223594
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Entity Type | Organization
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Legal Business Name | BODY IN MOTION PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 2312 BECKETTS RIDGE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6643
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Country | US
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Telephone | 919-307-5646
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 BECKETTS RIDGE DR
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-6643
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Country | US
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Telephone | 919-307-5646
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MS. HOLLY ANNE BOSS
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Credential | MS, PT, CERT. MDT
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Telephone | 919-307-5646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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