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General NPI Number Information
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NPI Number | 1093623910
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Entity Type | Individual
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Provider Name | YOON SUH MOH PH.D., LPC, BCN
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Gender |
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Dates
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Enumeration Date | 08/31/2026
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Last Update Date | 08/31/2026
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Provider Practice Location Address
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Address Line | 1288 VALLEY FORGE RD
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City | PHOENIXVILLE
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State | PA
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Zip | 19460-2687
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Country | US
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Telephone | 631-213-1475
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Fax |
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Provider Business Mailing Address
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Address Line | 321 CALEY CT
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1547
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC011650
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License Number State | PA
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