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General NPI Number Information
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NPI Number | 1073637864
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Entity Type | Organization
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Legal Business Name | LIFE MOVES INC
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Dates
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Enumeration Date | 03/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16362 HARMON RD
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-9371
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Country | US
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Telephone | 877-811-5433
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Fax | 479-575-9097
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Provider Business Mailing Address
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Address Line | PO BOX 7549
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City | LITTLE ROCK
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State | AR
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Zip | 72217-7549
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Country | US
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Telephone | 479-575-9333
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Fax | 479-575-9097
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | GABRIEL D DECKER
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Credential |
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Telephone | 501-837-8825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 111
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License Number State | AR
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