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NPI 1780459644

NPI 1780459644 : ON THE MOVE : NAPA, CA

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General NPI Number Information
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    NPI Number           |    1780459644
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    Entity Type          |    Organization 
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    Legal Business Name  |    ON THE MOVE 
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Dates
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    Enumeration Date     |    11/21/2023
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    Last Update Date     |    11/21/2023
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Provider Practice Location Address
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    Address Line         |    780 LINCOLN AVENUE 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-5110
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    Country              |    US
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    Telephone            |    707-251-9432
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    Fax                  |    707-251-9509
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Provider Business Mailing Address
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    Address Line         |    780 LINCOLN AVENUE 
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    City                 |    NAPA
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    State                |    CA
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    Zip                  |    94558-5110
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    Country              |    US
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    Telephone            |    707-251-9432
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    Fax                  |    707-251-9509
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    MRS. ALISSA  ABDO 
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    Credential           |    M.N.A.
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    Telephone            |    415-867-9459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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