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General NPI Number Information
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NPI Number | 1922810969
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Entity Type | Organization
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Legal Business Name | CLUB MOVE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 23D CAMBRIDGE ST
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City | BURLINGTON
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State | MA
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Zip | 01803-4601
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Country | US
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Telephone | 781-202-2065
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Fax | 866-570-1753
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Provider Business Mailing Address
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Address Line | 43 WESTLAND AVE UNIT 507
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City | BOSTON
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State | MA
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Zip | 02115-4565
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Country | US
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Telephone | 781-202-2065
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Fax | 866-570-1753
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSHUA WEBER
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Credential | DPT
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Telephone | 781-202-2065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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