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General NPI Number Information
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NPI Number | 1396031480
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD ENHANCE SERVICES, INC
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 907 LANCASTER STREEET
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City | ROCKY MOUNT
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State | NC
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Zip | 27802-0213
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Country | US
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Telephone | 252-210-3089
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Fax | 252-210-3089
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Provider Business Mailing Address
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Address Line | 907 LANCASTER STREET
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City | ROCKY MOUNT
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State | NC
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Zip | 27801
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Country | US
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Telephone | 252-210-3089
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Fax | 252-210-3089
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CURTIS M JONES
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Credential |
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Telephone | 252-210-3089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NC
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Taxonomy #4
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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 #5
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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 | NC
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Taxonomy #6
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | NC
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Taxonomy #7
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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