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General NPI Number Information
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NPI Number | 1356457618
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Entity Type | Organization
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Legal Business Name | MOTION SYNERGY PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 3600 N WINTERSET DR
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City | APPLETON
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State | WI
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Zip | 54911-8552
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Country | US
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Telephone | 920-734-5150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 524
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City | APPLETON
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State | WI
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Zip | 54912-0524
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Country | US
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Telephone | 920-734-5150
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST , OWNER
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Name | MR. MARK WILLIAM SHROPSHIRE
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Credential | PT MSPT
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Telephone | 920-734-5150
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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 | 3150024
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License Number State | WI
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