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General NPI Number Information
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NPI Number | 1821865767
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Entity Type | Organization
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Legal Business Name | THE MOVEMENT PARADIGM
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 101 MANOR AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2601
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Country | US
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Telephone | 302-635-9220
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MANOR AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2601
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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 | FUNCT'L MEDICINE PHYSICAL THERAPIST
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Name | ARIANNE MISSIMER
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Credential | IFMCP, PT, LDN, RD
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Telephone | 302-635-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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