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General NPI Number Information
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NPI Number | 1538937958
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Entity Type | Organization
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Legal Business Name | MOVEMINT HEALTH INC
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Dates
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Enumeration Date | 12/14/2023
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 1800 PHOENIX BLVD STE 128-12
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City | ATLANTA
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State | GA
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Zip | 30349-5593
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Country | US
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Telephone | 912-521-5113
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Fax |
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Provider Business Mailing Address
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Address Line | 22 JONES ST APT 6A
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City | NEW YORK
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State | NY
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Zip | 10014-4144
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Country | US
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Telephone | 305-527-8780
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON NICHOLAS HOPEN
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Credential |
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Telephone | 305-527-8780
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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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