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General NPI Number Information
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NPI Number | 1649652132
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Entity Type | Organization
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Legal Business Name | THE HOUSE OF MOVEMENT LLC
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1900 BRICKELL AVE
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City | MIAMI
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State | FL
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Zip | 33129-1719
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Country | US
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Telephone | 305-220-5911
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Fax | 305-200-5926
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Provider Business Mailing Address
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Address Line | PO BOX 562170
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City | MIAMI
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State | FL
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Zip | 33256-2170
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Country | US
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Telephone | 786-256-4745
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Fax | 305-200-5926
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GLADYS VALDES
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Credential |
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Telephone | 786-256-4745
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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 | FL
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