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General NPI Number Information
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NPI Number | 1851850994
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Entity Type | Organization
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Legal Business Name | MOVING 4WARD, LLC
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Dates
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Enumeration Date | 03/18/2019
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 50 S STEPHANIE ST STE 203
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City | HENDERSON
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State | NV
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Zip | 89012-5731
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Country | US
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Telephone | 702-434-8700
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Fax | 702-434-8701
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Provider Business Mailing Address
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Address Line | 50 S STEPHANIE ST STE 203
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City | HENDERSON
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State | NV
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Zip | 89012-5731
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Country | US
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Telephone | 702-434-8700
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Fax | 702-434-8701
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Authorized Official
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Title or Position | OWNER
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Name | KELLEY FERRENCE
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Credential |
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Telephone | 702-434-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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