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General NPI Number Information
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NPI Number | 1336730860
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Entity Type | Organization
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Legal Business Name | MOVEMENT X ATHLETE PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 531 E 20TH ST APT 11E
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City | NEW YORK
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State | NY
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Zip | 10010-7604
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Country | US
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Telephone | 929-383-0338
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Fax |
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Provider Business Mailing Address
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Address Line | 531 E 20TH ST APT 11E
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City | NEW YORK
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State | NY
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Zip | 10010-7604
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Country | US
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Telephone | 646-342-9226
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MONA TSUTSUI
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Credential | DPT
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Telephone | 646-342-9226
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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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