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General NPI Number Information
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NPI Number | 1023195211
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Entity Type | Organization
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Legal Business Name | J.R. MOORE & ASSOCIATES LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 1600 4TH AVE N
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City | BESSEMER
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State | AL
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Zip | 35020-5711
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Country | US
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Telephone | 205-703-2020
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Fax | 205-957-6601
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Provider Business Mailing Address
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Address Line | PO BOX 11642
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City | BIRMINGHAM
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State | AL
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Zip | 35202-1642
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Country | US
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Telephone | 205-703-2020
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Fax | 205-957-6601
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. JEFFREY MOORE
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Credential | PHD, S-LPC, NCC
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Telephone | 20529361657
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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 | 2423
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2423
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2423
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License Number State | AL
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