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General NPI Number Information
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NPI Number | 1245903723
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Entity Type | Individual
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Provider Name | STEVEN LOSHUN MOON LPC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 04/01/2023
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Provider Practice Location Address
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Address Line | 24624 INTERSTATE 45 N STE 200
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City | SPRING
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State | TX
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Zip | 77386-4084
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Country | US
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Telephone | 832-910-9817
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Fax |
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Provider Business Mailing Address
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Address Line | 30711 SHADY TRACE DR
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City | SPRING
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State | TX
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Zip | 77386-3878
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Country | US
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Telephone | 254-383-8499
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 86535
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License Number State | TX
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