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General NPI Number Information
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NPI Number | 1457780512
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Entity Type | Organization
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Legal Business Name | MOVE INTERNATIONAL
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Dates
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Enumeration Date | 11/08/2013
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 5555 CALIFORNIA AVE 302
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1648
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Country | US
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Telephone | 661-843-7760
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Fax | 661-843-7765
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Provider Business Mailing Address
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Address Line | 5555 CALIFORNIA AVE 302
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1648
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Country | US
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Telephone | 661-843-7760
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Fax | 661-843-7765
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHEILA SHEGOS
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Credential |
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Telephone | 661-843-7760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 97286606
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License Number State | CA
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