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General NPI Number Information
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NPI Number | 1386074854
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Entity Type | Organization
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Legal Business Name | CORE MOVEMENT AND PERFORMANCE LLC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 282 MOODY ST
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City | WALTHAM
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State | MA
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Zip | 02453-5232
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Country | US
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Telephone | 585-506-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 407 D ST UNIT 404
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City | BOSTON
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State | MA
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Zip | 02210-1944
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Country | US
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Telephone | 585-506-2277
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. KAREN ADAMS
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Credential | PT, DPT
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Telephone | 585-506-2277
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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 | 20631
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License Number State | MA
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