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General NPI Number Information
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NPI Number | 1629626791
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Entity Type | Organization
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Legal Business Name | MOTION 4 KIDS
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Dates
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Enumeration Date | 08/30/2019
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 11680 LAKELAND ACRES RD
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City | LAKELAND
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State | FL
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Zip | 33810-1006
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Country | US
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Telephone | 786-260-8856
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Fax |
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Provider Business Mailing Address
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Address Line | 11680 LAKELAND ACRES RD
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City | LAKELAND
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State | FL
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Zip | 33810-1006
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Country | US
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Telephone | 786-260-8856
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARGARITA M TORRES
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Credential | PT
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Telephone | 863-660-6335
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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