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General NPI Number Information
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NPI Number | 1740107408
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Entity Type | Organization
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Legal Business Name | MOUNTAIN MOVEMENT LLC
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 219 DUNDEE RD
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City | INTERVALE
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State | NH
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Zip | 03845-6148
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Country | US
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Telephone | 603-722-0457
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Fax |
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Provider Business Mailing Address
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Address Line | 219 DUNDEE RD
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City | INTERVALE
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State | NH
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Zip | 03845-6148
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Country | US
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Telephone | 781-820-4884
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MOUNA GOYETTE
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Credential |
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Telephone | 781-820-4884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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