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General NPI Number Information
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NPI Number | 1447919741
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Entity Type | Organization
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Legal Business Name | MOVEMENT IMPROVEMENT LLC
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 384 Q ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-2140
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Country | US
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Telephone | 541-514-4819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | WALTERVILLE
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State | OR
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Zip | 97489-0278
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Country | US
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Telephone | 541-603-6564
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Fax | 541-897-8112
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | JOSHUA DWAYNE PUGH
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Credential | LMT
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Telephone | 541-514-4819
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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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