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General NPI Number Information
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NPI Number | 1326305681
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Entity Type | Individual
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Provider Name | TRACI MORENO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2012
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Last Update Date | 08/04/2019
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Provider Practice Location Address
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Address Line | 5335 E LONE MOUNTAIN RD
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City | CAVE CREEK
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State | AZ
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Zip | 85331-5529
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Country | US
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Telephone | 480-220-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 5335 E LONE MOUNTAIN RD
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City | CAVE CREEK
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State | AZ
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Zip | 85331-5529
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Country | US
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Telephone | 480-220-0020
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY22412
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY005104
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License Number State | AZ
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