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General NPI Number Information
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NPI Number | 1255960969
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Entity Type | Individual
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Provider Name | KATHERINE MORAN LPC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2020
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Last Update Date | 05/25/2023
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Provider Practice Location Address
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Address Line | 222 N WALNUT ST STE 1
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City | WEST CHESTER
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State | PA
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Zip | 19380-2608
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Country | US
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Telephone | 609-354-2063
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Fax |
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Provider Business Mailing Address
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Address Line | 3200 HIGHLAND AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-1425
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Country | US
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Telephone | 609-354-2063
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC014722
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License Number State | PA
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