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General NPI Number Information
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NPI Number | 1437015179
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Entity Type | Organization
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Legal Business Name | MINDFULNESS IN MOTION PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 325B CORDOVA ST STE 1
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 516-527-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 2315 1/2 MERTON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90041-1916
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Country | US
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Telephone | 516-527-2284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELIA FLAGG
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Credential |
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Telephone | 516-527-2284
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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 |
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License Number State |
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