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General NPI Number Information
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NPI Number | 1588122766
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Entity Type | Organization
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Legal Business Name | THERAPY IN MOTION PA
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 3000 NE 151ST ST
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City | NORTH MIAMI
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State | FL
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Zip | 33181
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Country | US
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Telephone | 754-256-4705
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Fax | 754-816-5514
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Provider Business Mailing Address
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Address Line | 3350 SW 148TH AVE STE 110
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City | MIRAMAR
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State | FL
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Zip | 33027-3237
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Country | US
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Telephone | 754-256-4705
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Fax | 754-816-5514
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAFONDA BENEBY
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Credential | DPT
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Telephone | 754-256-4705
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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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