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General NPI Number Information
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NPI Number | 1396007431
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD THERAPIES INC
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 7500 VIA GRANDE
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-7509
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Country | US
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Telephone | 252-227-0021
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Fax | 561-423-3307
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Provider Business Mailing Address
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Address Line | 7500 VIA GRANDE
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-7509
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Country | US
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Telephone | 252-227-0021
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Fax | 561-423-3307
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JASON ELOWITZ
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Credential |
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Telephone | 252-227-0021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | FL
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