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General NPI Number Information
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NPI Number | 1295109007
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Entity Type | Organization
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Legal Business Name | MOVEMENT RX PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 3146 TIGER RUN CT #120
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City | CARLSBAD
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State | CA
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Zip | 92010-6695
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Country | US
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Telephone | 877-854-1343
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Fax | 877-854-1343
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Provider Business Mailing Address
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Address Line | 3027 OLIVE ST STREET
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City | SAN DIEGO
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State | CA
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Zip | 92104-5002
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Country | US
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Telephone | 877-854-1343
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Fax | 877-854-1343
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Authorized Official
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Title or Position | DIRECTOR
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Name | PER LARSON
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Credential |
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Telephone | 877-854-1343
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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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