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General NPI Number Information
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NPI Number | 1063130193
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Entity Type | Individual
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Provider Name | MORGAN WHITNEY MOOERS
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Gender | Female
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Dates
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Enumeration Date | 08/15/2022
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Last Update Date | 08/15/2022
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Provider Practice Location Address
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Address Line | 760 S AUBURN ST STE C2
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4318
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Country | US
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Telephone | 530-265-5811
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Fax |
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Provider Business Mailing Address
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Address Line | 228 SUTTON WAY APT 237
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City | GRASS VALLEY
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State | CA
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Zip | 95945-4151
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Country | US
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Telephone | 530-446-4621
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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