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General NPI Number Information
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NPI Number | 1942013388
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Entity Type | Organization
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Legal Business Name | FREE TO MOVE - REHAB & PERFORMANCE, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 710 S UTAH VALLEY DR
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City | AMERICAN FORK
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State | UT
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Zip | 84003-9776
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Country | US
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Telephone | 385-207-8540
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Fax |
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Provider Business Mailing Address
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Address Line | 432 N 800 E
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City | AMERICAN FORK
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State | UT
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Zip | 84003-1978
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Country | US
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Telephone | 385-207-8540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRENT FROBERG
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Credential | DC
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Telephone | 385-207-8540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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