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NPI 1164054045

NPI 1164054045 : HEATHER BRIDGES MOSHIER BS, MBA, CAADC : LEMOYNE, PA

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General NPI Number Information
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    NPI Number           |    1164054045
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    Entity Type          |    Individual 
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    Provider Name        |    HEATHER BRIDGES MOSHIER BS, MBA, CAADC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/07/2020
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    Last Update Date     |    01/18/2024
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Provider Practice Location Address
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    Address Line         |    20 ERFORD RD STE 8 
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    City                 |    LEMOYNE
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    State                |    PA
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    Zip                  |    17043-1163
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    Country              |    US
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    Telephone            |    717-579-4400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3132 FISHING CREEK VALLEY RD 
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    City                 |    HARRISBURG
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    State                |    PA
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    Zip                  |    17112-9265
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    Country              |    US
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    Telephone            |    717-579-4400
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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       |    9098
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    License Number State |    PA
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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       |    9098
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    CW024335
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    License Number State |    PA
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