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General NPI Number Information
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NPI Number | 1699259929
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Entity Type | Organization
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Legal Business Name | LIFE MOVES MANUAL THERAPIES, LLC
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 03/23/2020
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Provider Practice Location Address
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Address Line | 1800 ROSWELL RD STE 1050
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City | MARIETTA
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State | GA
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Zip | 30062-3982
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Country | US
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Telephone | 678-883-5668
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Fax |
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Provider Business Mailing Address
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Address Line | 4321 KINGS WAY NE
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City | MARIETTA
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State | GA
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Zip | 30067-3631
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Country | US
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Telephone | 727-804-3791
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA SCHOECK
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Credential | LMT, CES
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Telephone | 678-883-5668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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