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General NPI Number Information
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NPI Number | 1053549790
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Entity Type | Individual
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Provider Name | FARAH ANDRE MOYER PSYD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | 2132 S 12TH ST STE 402
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City | ALLENTOWN
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State | PA
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Zip | 18103-4810
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Country | US
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Telephone | 484-602-5775
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Fax | 484-350-3811
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Provider Business Mailing Address
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Address Line | 830 HICKORY ST
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City | MACUNGIE
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State | PA
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Zip | 18062-1613
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Country | US
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Telephone | 215-850-3222
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Fax | 484-350-3811
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016643
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License Number State | PA
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