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General NPI Number Information
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NPI Number | 1679197420
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Entity Type | Organization
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Legal Business Name | SMART MOVES PHYSIOTHERAPY, LLC
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Dates
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Enumeration Date | 06/07/2020
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Last Update Date | 06/07/2020
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Provider Practice Location Address
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Address Line | 784 BLANDING BLVD STE 106
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City | ORANGE PARK
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State | FL
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Zip | 32065-7724
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Country | US
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Telephone | 504-237-0870
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Fax |
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Provider Business Mailing Address
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Address Line | 2302 EAGLE PERCH PL
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City | FLEMING ISLAND
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State | FL
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Zip | 32003-2201
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Country | US
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Telephone | 504-237-0870
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW SCOTT WEAVER
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Credential | PT, DPT
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Telephone | 504-237-0870
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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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