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General NPI Number Information
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NPI Number | 1427837897
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Entity Type | Organization
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Legal Business Name | MOVEMENT PROFESSIONALS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/26/2023
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Last Update Date | 09/26/2023
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Provider Practice Location Address
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Address Line | 711 KRISTINA CT
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City | PORT ORANGE
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State | FL
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Zip | 32127-4907
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Country | US
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Telephone | 386-847-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 711 KRISTINA CT
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City | PORT ORANGE
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State | FL
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Zip | 32127-4907
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Country | US
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Telephone | 386-847-2225
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. KURT P BARNES
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Credential | PT
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Telephone | 386-847-2225
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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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