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General NPI Number Information
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NPI Number | 1245682251
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Entity Type | Individual
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Provider Name | MEGAN MOORE LPC
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Gender | Female
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 02/11/2019
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Provider Practice Location Address
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Address Line | 2002 COMMERCE ST STE C
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City | VICTORIA
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State | TX
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Zip | 77901-5538
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Country | US
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Telephone | 361-570-1444
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Fax | 361-570-1446
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Provider Business Mailing Address
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Address Line | 2002 COMMERCE ST STE C
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City | VICTORIA
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State | TX
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Zip | 77901-5538
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Country | US
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Telephone | 361-570-1444
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Fax | 361-570-1446
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | 76114
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License Number State | TX
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