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General NPI Number Information
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NPI Number | 1790673473
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Entity Type | Organization
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Legal Business Name | MOVE BY DESIGN, PLLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 6967 S 66TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-1759
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Country | US
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Telephone | 918-857-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 5121 S TROOST AVE
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City | TULSA
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State | OK
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Zip | 74105-5718
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNA DEANE VOGT
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Credential | PT, DPT
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Telephone | 918-857-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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