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General NPI Number Information
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NPI Number | 1811346430
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Entity Type | Organization
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Legal Business Name | MOVEWELL PHYSICAL THERAPY
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Dates
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Enumeration Date | 06/04/2016
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Last Update Date | 06/04/2016
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Provider Practice Location Address
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Address Line | 6 DEVONWOOD CT
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City | VOORHEES
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State | NJ
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Zip | 08043-3445
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Country | US
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Telephone | 609-678-5553
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Fax |
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Provider Business Mailing Address
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Address Line | 6 DEVONWOOD CT
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City | VOORHEES
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State | NJ
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Zip | 08043-3445
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Country | US
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Telephone | 609-678-5553
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. ADAM FREITAG
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Credential | PT, DPT
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Telephone | 609-678-5553
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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 | 40QA01365100
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License Number State | NJ
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