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1700524691 NPI number — VARIABLE MOVEMENT LLC

NPI Number: 1700524691
Health Care Provider/Practitioner: VARIABLE MOVEMENT LLC

Information about “1700524691” NPI (VARIABLE MOVEMENT LLC) exists in 1700524691 in HTML format HTML  |  1700524691 in plain Text format TXT  |  1700524691 in PDF (Portable Document Format) PDF  |  1700524691 in an XML format XML  formats.

NPI Number : 1700524691 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700524691",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "VARIABLE MOVEMENT LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15 UPLAND WAY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ELLSWORTH",
    "MailingAddressStateName": "ME",
    "MailingAddressPostalCode": "04605-3475",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-313-4227",
    "MailingAddressFaxNumber": "207-433-1465",
    "FirstLinePracticeLocationAddress": "165 ELLSWORTH RD APT 3A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLUE HILL",
    "PracticeLocationAddressStateName": "ME",
    "PracticeLocationAddressPostalCode": "04614-5423",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "207-374-7228",
    "PracticeLocationAddressFaxNumber": "207-433-1465",
    "EnumerationDate": "05/22/2022",
    "LastUpdateDate": "10/25/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WATERMAN",
    "AuthorizedOfficialFirstName": "DANIEL",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": "JR.",
    "AuthorizedOfficialCredential": "DAT, LAT, ATC",
    "AuthorizedOfficialTelephoneNumber": "603-313-4227",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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