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General NPI Number Information
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NPI Number | 1871009761
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Entity Type | Organization
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Legal Business Name | MOTION MEDICAL GROUP
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 08/07/2018
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Provider Practice Location Address
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Address Line | 480 2ND ST STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94107
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Country | US
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Telephone | 415-408-7557
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Fax | 844-364-0141
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Provider Business Mailing Address
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Address Line | 480 2ND ST STE 100
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1429
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Country | US
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Telephone | 415-408-7557
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Fax | 844-364-0141
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Authorized Official
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Title or Position | LEAD MEDICAL DIRECTOR
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Name | VERONICA JOW
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Credential | MD
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Telephone | 415-408-7557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 31737
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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