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General NPI Number Information
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NPI Number | 1467860643
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Entity Type | Organization
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Legal Business Name | ON THE MOVE SOLUTIONS, INC.
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Dates
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Enumeration Date | 07/31/2014
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 2938 E. 91ST SUITE 208
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City | CHICAGO
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State | IL
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Zip | 60617-3868
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Country | US
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Telephone | 312-401-5507
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Fax | 888-419-3986
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Provider Business Mailing Address
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Address Line | 2938 E. 91ST STREET SUITE 208
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City | CHICAGO
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State | IL
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Zip | 60617-3868
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Country | US
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Telephone | 888-417-0274
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Fax | 888-419-3986
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Authorized Official
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Title or Position | CEO
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Name | ORLANDO DAVIS
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Credential | L.C.S.W.
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Telephone | 888-417-0274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 149015621
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License Number State | IL
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