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General NPI Number Information
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NPI Number | 1811226723
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD
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Dates
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Enumeration Date | 12/24/2009
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Last Update Date | 12/24/2009
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Provider Practice Location Address
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Address Line | 1146 N. CHURCH ST. STE. A
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City | BURLINGTON
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State | NC
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Zip | 27217
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Country | US
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Telephone | 336-669-6283
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BATTLEGROUND AVE. STE. 150-F
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City | GREENSBORO
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State | NC
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Zip | 27408-8044
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Country | US
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Telephone | 336-669-6283
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Fax | 336-698-3849
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Authorized Official
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Title or Position | OWNER
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Name | MS. ADRIENNE MICHELLE HUGHES
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Credential |
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Telephone | 336-669-6283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | P-004540
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License Number State | NC
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