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General NPI Number Information
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NPI Number | 1346771755
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Entity Type | Organization
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Legal Business Name | MOVE N PLAY, LLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 41 FAIRWAY WINDS PL
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29928-5547
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Country | US
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Telephone | 717-368-2656
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7047
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29938-7047
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Country | US
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Telephone | 717-368-2656
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARY E MARZULLI
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Credential | P.T.
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Telephone | 717-368-2656
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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 | 6541
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License Number State | SC
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