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General NPI Number Information
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NPI Number | 1316779465
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Entity Type | Organization
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Legal Business Name | FORGE AHEAD LLC
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 375 N STEPHANIE ST STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-8771
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Country | US
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Telephone | 702-723-4774
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Fax |
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Provider Business Mailing Address
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Address Line | 7536 MOUNT SPOKANE CT
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City | LAS VEGAS
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State | NV
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Zip | 89113-5376
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP
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Name | BROOKE SGUARDO
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Credential |
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Telephone | 480-299-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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