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General NPI Number Information
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NPI Number | 1508702929
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Entity Type | Organization
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Legal Business Name | MOXIE ORTHOPEDIC AND BALANCE CENTER
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 8451 SHADE AVE STE 107
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City | SARASOTA
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State | FL
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Zip | 34243-2878
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Country | US
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Telephone | 941-340-5444
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Fax | 941-259-0548
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Provider Business Mailing Address
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Address Line | PO BOX 7607
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City | NORTH PORT
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State | FL
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Zip | 34290-0607
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Country | US
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Telephone | 941-340-5444
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Fax | 941-259-0548
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL D MCINTOSH
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Credential | PT
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Telephone | 417-773-2157
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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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