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General NPI Number Information
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NPI Number | 1992994362
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Entity Type | Organization
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Legal Business Name | MINDS IN MOTION, INC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 4343 SECURITY PKWY SIGS SPORTPLEX
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City | NEW ALBANY
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State | IN
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Zip | 47150-9374
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Country | US
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Telephone | 812-418-3989
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Fax |
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Provider Business Mailing Address
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Address Line | 1467 E PAULA DR
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City | SCOTTSBURG
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State | IN
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Zip | 47170-6651
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Country | US
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Telephone | 812-752-5101
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. CANDACE S MEYER
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Credential |
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Telephone | 812-752-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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 | IN
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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