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General NPI Number Information
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NPI Number | 1033325501
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Entity Type | Organization
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Legal Business Name | MARKEE & MOORE PSYCHOLOGISTS, INC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 2009 F STREET
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-693-3715
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 F STREET
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-693-3715
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | DR. LAWRENCE HAROLD MOORE
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Credential | PH.D.
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Telephone | 360-693-3715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2014
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License Number State | WA
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