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General NPI Number Information
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NPI Number | 1356102826
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Entity Type | Organization
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Legal Business Name | ELEMENTS OF MOVEMENT, LLC
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Dates
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Enumeration Date | 01/22/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 8628 SW 149TH PL
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City | ARCHER
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State | FL
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Zip | 32618-4455
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Country | US
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Telephone | 352-514-2226
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Fax |
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Provider Business Mailing Address
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Address Line | 8628 SW 149TH PL
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City | ARCHER
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State | FL
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Zip | 32618-4455
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Country | US
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Telephone | 352-514-2226
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDIA SENESAC
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Credential | PT
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Telephone | 352-514-2226
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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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