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General NPI Number Information
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NPI Number | 1164001608
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD CONSULANT COMPANY
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 10216 BRIARBAY LOOP
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City | JONESBORO
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State | GA
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Zip | 30238-6579
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Country | US
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Telephone | 404-932-2107
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Fax |
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Provider Business Mailing Address
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Address Line | 257 LAWRENCE ST NE UNIT 57
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City | MARIETTA
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State | GA
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Zip | 30061-2300
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Country | US
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Telephone | 678-400-3270
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAGDALINE SIMERVIL
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Credential |
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Telephone | 404-932-2107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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