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General NPI Number Information
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NPI Number | 1538788476
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Entity Type | Organization
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Legal Business Name | MOVEMENT EVOLUTION, LLC
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 16698 HOUSE HAHL RD
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City | CYPRESS
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State | TX
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Zip | 77433-5357
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Country | US
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Telephone | 713-298-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 2033 S GESSNER RD APT 4209
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City | HOUSTON
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State | TX
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Zip | 77063-1174
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Country | US
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Telephone | 713-298-7332
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, OWNER
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Name | ADEEB KHALFE
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Credential | PT
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Telephone | 713-298-7332
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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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