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General NPI Number Information
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NPI Number | 1255936092
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Entity Type | Individual
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Provider Name | MORGAN LEANNE MOORE
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Gender | Female
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 317 E JACKSON BLVD
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City | ERWIN
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State | NC
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Zip | 28339-9626
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Country | US
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Telephone | 910-249-4219
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Fax | 866-279-1991
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Provider Business Mailing Address
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Address Line | 7513 NC HIGHWAY 96 S
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City | BENSON
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State | NC
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Zip | 27504-7056
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Country | US
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Telephone | 910-890-6212
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26936
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C015704
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License Number State | NC
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