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General NPI Number Information
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NPI Number | 1891124509
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 11/03/2013
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Last Update Date | 11/03/2013
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Provider Practice Location Address
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Address Line | 282 WESTGATE MALL CIR SUITE 104
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City | PENNINGTON GAP
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State | VA
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Zip | 24277-2879
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Country | US
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Telephone | 276-546-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 482
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City | PENNINGTON GAP
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State | VA
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Zip | 24277-0482
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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 | PRESIDENT
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Name | MARGARET R. GIBSON
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Credential | MPT
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Telephone | 276-275-3062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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