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General NPI Number Information
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NPI Number | 1073423679
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Entity Type | Individual
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Provider Name | AMBER R MOORE M.S., ED, NCSP
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Gender | Female
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 181 GUINEA HILL RD
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City | SLATE HILL
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State | NY
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Zip | 10973-4341
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Country | US
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Telephone | 845-355-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 103 BENNEYWATER RD
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City | PORT JERVIS
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State | NY
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Zip | 12771-3603
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Country | US
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Telephone | 845-283-1477
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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