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General NPI Number Information
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NPI Number | 1346655784
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Entity Type | Organization
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Legal Business Name | TOTAL MOTION PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 13400 NW GILSON RD
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City | PALM CITY
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State | FL
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Zip | 34990-4907
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Country | US
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Telephone | 310-387-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 13208 HARBOUR RIDGE BLVD
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City | PALM CITY
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State | FL
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Zip | 34990-4809
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Country | US
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Telephone | 310-387-2805
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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 | ANDREA NELSON
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Credential | PT, DPT
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Telephone | 310-387-2805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 27026
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License Number State | FL
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