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General NPI Number Information
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NPI Number | 1528672995
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Entity Type | Organization
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Legal Business Name | ON-THE-MOVE WELLNESS & PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 1316 LIGHT ST APT B
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City | BALTIMORE
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State | MD
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Zip | 21230-4077
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Country | US
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Telephone | 410-941-9438
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Fax |
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Provider Business Mailing Address
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Address Line | 1316 LIGHT ST APT B
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City | BALTIMORE
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State | MD
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Zip | 21230-4077
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Country | US
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Telephone | 201-663-5919
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. JEFFERY A DIORIO
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Credential | PT, DPT
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Telephone | 201-663-5919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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