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General NPI Number Information
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NPI Number | 1467222893
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Entity Type | Organization
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Legal Business Name | MOVE REHAB, LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 4030 E HOPI AVE
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City | MESA
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State | AZ
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Zip | 85206-3268
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Country | US
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Telephone | 262-994-5682
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Fax |
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Provider Business Mailing Address
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Address Line | 4030 E HOPI AVE
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City | MESA
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State | AZ
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Zip | 85206-3268
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Country | US
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Telephone | 262-994-5682
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Fax |
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Authorized Official
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Title or Position | OWNER/OT
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Name | ANTHONY ROBERTS
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Credential | OTR/L
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Telephone | 262-994-5682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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