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General NPI Number Information
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NPI Number | 1063126563
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Entity Type | Organization
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Legal Business Name | MINDS MOVING FORWARD, L.L.C.
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Dates
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Enumeration Date | 01/09/2023
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 50 IRON POINT CIR STE 140
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City | FOLSOM
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State | CA
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Zip | 95630-8594
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Country | US
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Telephone | 702-608-2622
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5113
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-0003
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Country | US
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Telephone | 702-608-2622
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HANNAH WARE
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Credential | LMFT
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Telephone | 702-608-2622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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