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General NPI Number Information
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NPI Number | 1902144793
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Entity Type | Organization
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Legal Business Name | MOVEMENT SPORTS PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 3280 PEACHTREE RD NE STE 160 AT FUSION ATL
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City | ATLANTA
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State | GA
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Zip | 30305-2430
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Country | US
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Telephone | 404-382-8667
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Fax | 678-823-8214
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Provider Business Mailing Address
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Address Line | 3280 PEACHTREE RD NE STE 160 AT FUSION ATL
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City | ATLANTA
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State | GA
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Zip | 30305-2430
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Country | US
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Telephone | 404-382-8667
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Fax | 678-823-8214
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Authorized Official
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Title or Position | OWNER
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Name | BRIAN ARTHUR YEE
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Credential | PT
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Telephone | 404-441-0206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT008407
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License Number State | GA
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