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General NPI Number Information
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NPI Number | 1356730436
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Entity Type | Organization
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Legal Business Name | THE M O V E PROJECT INC
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 431 S 6TH ST
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City | LAS VEGAS
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State | NV
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Zip | 89101-6915
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Country | US
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Telephone | 702-762-5633
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Fax | 702-749-7844
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Provider Business Mailing Address
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Address Line | 1058 W. OWENS
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City | LAS VEGAS
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State | NV
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Zip | 89106
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Country | US
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Telephone | 702-749-7444
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Fax | 702-749-7844
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOYCE M BANKS
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Credential |
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Telephone | 702-762-5433
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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 | NV20101125397
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License Number State | NV
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