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General NPI Number Information
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NPI Number | 1437727427
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Entity Type | Organization
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Legal Business Name | RPM FUNCTIONAL NEUROMUSCULAR MASSAGE THERAPY, INC.
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 626 PARKSIDE VILLAGE DR
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City | CLAYTON
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State | NC
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Zip | 27520-4121
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Country | US
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Telephone | 919-475-5424
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 CARLTON ST
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City | CLAYTON
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State | NC
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Zip | 27520-3708
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Country | US
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Telephone | 919-475-5424
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER/COO
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Name | DR. JIM MORETZ
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Credential | PHD
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Telephone | 919-475-5424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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