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General NPI Number Information
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NPI Number | 1801522768
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Entity Type | Organization
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Legal Business Name | MOVEMENT PHYSICAL THERAPY AND SPINE
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Dates
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Enumeration Date | 07/25/2022
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Last Update Date | 07/25/2022
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Provider Practice Location Address
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Address Line | 13420 REESE BLVD W OFC 37
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7925
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Country | US
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Telephone | 704-659-1917
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Fax |
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Provider Business Mailing Address
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Address Line | 13420 REESE BLVD W OFC 37
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7925
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Country | US
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Telephone | 704-659-1917
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY/OWNER
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Name | DALLIN PAGE
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Credential | PT, DPT, CERT. MDT
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Telephone | 704-956-3361
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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 |
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License Number State |
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