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General NPI Number Information
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NPI Number | 1134340094
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Entity Type | Individual
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Provider Name | VANESSA FLOY MOYER MS, LADC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 1330 N CLASSEN BLVD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73106-6835
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Country | US
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Telephone | 405-601-6710
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Fax | 405-601-6711
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Provider Business Mailing Address
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Address Line | 101 WEST PLATT
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City | YUKON
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State | OK
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Zip | 73099-3205
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Country | US
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Telephone | 405-982-4321
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Fax | 405-601-6711
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1259
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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