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General NPI Number Information
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NPI Number | 1194174698
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Entity Type | Individual
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Provider Name | BRITTANY LEANN MOORE M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 30141 ANTELOPE RD
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City | MENIFEE
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State | CA
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Zip | 92584-7001
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Country | US
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Telephone | 951-704-6219
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Fax | 951-848-9292
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Provider Business Mailing Address
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Address Line | 30141 ANTELOPE RD STE D
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City | MENIFEE
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State | CA
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Zip | 92584-8066
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 112216
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License Number State | CA
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