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General NPI Number Information
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NPI Number | 1972861417
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Entity Type | Organization
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Legal Business Name | IN MOTION THERAPY, INC
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/02/2012
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Provider Practice Location Address
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Address Line | 2701 W SUPERIOR ST STE 112
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City | DULUTH
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State | MN
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Zip | 55806-1856
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Country | US
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Telephone | 218-727-1180
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Fax | 218-727-1461
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Provider Business Mailing Address
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Address Line | 2701 W SUPERIOR ST STE 112
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City | DULUTH
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State | MN
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Zip | 55806-1856
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Country | US
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Telephone | 218-727-1180
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Fax | 218-727-1461
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KRISTINE LYNN MADISON
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Credential |
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Telephone | 218-727-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | MN
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