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General NPI Number Information
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NPI Number | 1144458803
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Entity Type | Organization
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Legal Business Name | TAMERRA P. MOELLER, PHD, LLC
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 201 VARSITY AVE
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City | PRINCETON
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State | NJ
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Zip | 08540-6435
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Country | US
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Telephone | 609-452-1752
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Fax | 609-520-9898
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Provider Business Mailing Address
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Address Line | 201 VARSITY AVE
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City | PRINCETON
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State | NJ
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Zip | 08540-6435
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Country | US
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Telephone | 609-452-1752
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Fax | 609-520-9898
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. TAMERRA P. MOELLER
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Credential | PH.D.
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Telephone | 609-452-1752
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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 | 35SIO0155100
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License Number State | NJ
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