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General NPI Number Information
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NPI Number | 1396768297
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Entity Type | Organization
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Legal Business Name | NEW MOVES HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 805 E MARKET ST
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City | WARSAW
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State | IN
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Zip | 46580-3315
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Country | US
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Telephone | 574-269-2597
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Fax | 574-269-9802
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Provider Business Mailing Address
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Address Line | 805 EAST MARKET STREET
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City | WARSAW
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State | IN
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Zip | 46580-3701
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Country | US
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Telephone | 574-267-4717
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Fax | 574-269-4767
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Authorized Official
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Title or Position | CEO/LEAD THERAPIST
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Name | MRS. MARY E MCHUGH
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Credential | RPT
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Telephone | 574-267-4717
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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 | 05001591A
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License Number State | IN
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