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General NPI Number Information
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NPI Number | 1720259567
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Entity Type | Organization
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Legal Business Name | BACK IN MOTION, INC.
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 96 GLEN CARRAN CIR SUITE #103
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City | SPARKS
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State | NV
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Zip | 89431-5888
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Country | US
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Telephone | 775-746-2206
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Fax | 775-359-3332
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Provider Business Mailing Address
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Address Line | PO BOX 19735
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City | RENO
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State | NV
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Zip | 89511-2434
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Country | US
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Telephone | 775-746-2206
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Fax | 775-359-3332
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. RHONDA LOUISE FIORILLO
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Credential | MPT
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Telephone | 775-746-2206
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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 | 0848
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License Number State | NV
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