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General NPI Number Information
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NPI Number | 1326610486
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Entity Type | Organization
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Legal Business Name | SET IN MOTION PT, LLC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 2125 LOGANVILLE HWY STE 202
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City | GRAYSON
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State | GA
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Zip | 30017-1657
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Country | US
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Telephone | 678-750-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 KENT ROCK RD
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City | LOGANVILLE
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State | GA
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Zip | 30052-4429
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Country | US
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Telephone |
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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 | DR. HALEY MERCADO
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Credential | DPT
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Telephone | 678-750-3330
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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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