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General NPI Number Information
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NPI Number | 1952187635
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Entity Type | Organization
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Legal Business Name | MOVEMENT CONNECTIONS LLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 1098 HONEYSUCKLE LN
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City | CHARLESTON
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State | SC
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Zip | 29412-9712
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Country | US
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Telephone | 518-932-9488
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Fax |
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Provider Business Mailing Address
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Address Line | 1098 HONEYSUCKLE LN
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City | CHARLESTON
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State | SC
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Zip | 29412-9712
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Country | US
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Telephone | 518-932-9488
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | LAUREN CARRUTHERS
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Credential | PT, DPT
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Telephone | 518-932-9488
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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 |
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License Number State |
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