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General NPI Number Information
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NPI Number | 1871157172
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Entity Type | Organization
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Legal Business Name | MOVING FORWARD DME
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 1089 3RD AVE SW STE 102
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City | CARMEL
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State | IN
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Zip | 46032-7583
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Country | US
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Telephone | 877-240-0777
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Fax | 877-347-5670
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Provider Business Mailing Address
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Address Line | PO BOX 615
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City | WESTFIELD
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State | IN
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Zip | 46074-0615
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ISAAC W BURGEI
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Credential |
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Telephone | 877-240-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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